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cam ~: ~l I ~- a ~S <br />General Planning A~lication <br />Temporary Sales/Storage of Fireworks <br />Pro e~rtl/ Infyormation <br />.Address: C y ~ 3© G%/g'/y~ 5~ • /V ll, Parcel Number: 75 - ~ 9~ ~~`~ <br />Legal Description: (attach if necessary} <br />~~licant intor~cnation ~~l~6f2~ sir/bvY~~-~l~is~l" ~g1~ sTU~~S ~i~~r!c~%kiJL <br />Name: (~u~ ~~ /(L~rv- D-/~ E-mail address: t-(~(~ L~,lJ~it/~~lOiCJ~i~/Jy~1G, ~Qyi1 <br />Address:_~S~O~/ ~AB~~ C~.(~T <br />s~ ~ s~ ~ ~ <br />Address of Fireworks Sales: _ _- ~ ~~30 Z~N~ 51 , it!(.t/ <br />Dates of Fireworks Sales: ~ - ~~ ~ Ll ~~ 1- .S- ~~ <br />Owner information <br />xame/cell: 71o~-Y"~-- 7~ 7b <br />Name• ~~~! ~~~x~~~~/~~ E-mad Address: <br />Address:-/D ~v~ /!f~ S«' ~! ~l4~ L°'1 ~eG~ /11i9DL~ l d!-/~ltJ /1~ d~ S~S~~ <br />s~ ~ s~ zp c«~ <br />~S~ ~ Fhone (w}: ~la - L0~9- 'lliFa~z/ Phone (h}: <br />Signature: Date: <br />Qescriution of Project <br />Please describe your project/reason far your request. If necessary, attach a written uarrattae. <br />e P n <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 PaY Costs of Reveew: <br />It is the policy of the City of Ells. River to require applicants for land use appr©vals and <br />licenses to reimburse the city for 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 />l ~~!/ <br />.~ _~ - . ~-~-Y.~~,.~ <br />