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COO P~ <br />Case Number. ~ ~ ~ ~ - ~ <br />General Punning Application <br />Temporary Sales/Storage of Fireworks ~ , ~ o. <br />Propert~r information <br />Address: I~~~ ~ ~~~JS ~/~~ Parcel Number: 75 - ~~/- ©~~ <br />~~ ~J2~-vim, ~ .v ss3 3 0 <br />Legal Description: (attach if necessary) <br />~,ppiicant information ~/~d'~/!Z~ ~'~~~'~~/TGG~~/.7~.~• ~l~U~S'/~/G~~~C' <br />Name: ,{ dG~st/ Td~ ~ _ /~ E-mail address: (.~6l~sc~/y~GSON ~ ~'/f1~-rL, ~Qyy( <br />Address: ~f~ll~o ~oA,~G~~ G6I[-~!?~T ,E~ IZ~ Cf// ~~20/ <br />street ~ stage z;p cpae <br />Address of Fireworks Sales: _! 9,$-~-/ ~U/~ltJ S S~~ ~[f~/ ,e~ ~U~ `jf /(~ <br />Dates of Fireworks Sales:. C °- ZP/ - Y I ~~~ti "~ - S' --1/ <br />Phone: Business:7~3'~~/d'~ 7G~iFag: <br />xome/cell: ~G-3 -cfY~- 7lv ~ <br />Signature: Date; <br />~~ Owner information <br />~i~" ' ame• ~~~~~~~ ~(i E-mat Address• <br />Address: SI t9 / ~11~~li/~ll~ ,t7/Z, ~~ L~/,C.~ G[/j 5~~~~~ <br />Street City Stare Zip Code <br />~~ Phone (w): Fax: Phone (h): <br />Signature: Date: <br />escription of Project <br />Please describe pour project/reason for your request. If necessarq, attach a written narrative. <br />m~y Tt~ ~l~~/~ ~o~' <br />site Pian <br />A site plan of the proposed location and layout of the temporary structure and its surroundings must <br />be submitted. <br />[~ Site Plan completed and attached to application. <br />Agreement to Par Costs of Review: <br />It is the policy of the City of Elk River to require applicants for land use approvals and <br />licenses to reimburse the city fox costs incurred by the city in reviewing and acting upon <br />applications, so that these costs are not. borne by the taxpayers of the city. These costs include all of <br />