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~~ ~ ~ 0 D Case Number: General Planning Application Temporary Sales/Storage of Fireworks vet Propert.~r Information _~ddress: t' ._ ., f Parcel NLmber: ~ S - - Legal Description: (attach if necessary-) Aonlicant Information ~' k. Name: ~~.~~~: ~ i ~P~~ i'1 ~ ~ 4 ~4=~~'t i E-mail address: i`-~ Ct--~'~= ~~ ~~ -4~ L~ i ~ ~ t~L.~'t ~i~.-j-1'~'~ i'v° ~ 't`om - E:.~ t `'~ Address: I t~ ~ ~ `r~€ r i~~~ t ~ i (~ [~ it.1'":.t.~ f t -- :~ ~.= ~ ~~ ~ ° ~'~t'1 ~'tf !~~ ~`~ f ~~~t tai `°t :~ Street ~ ~ Cin- State Zip Code Address of Fireworks Sales: ~ t` . -~ ° f < <' ~ ~=- ;~-"r ~-~f~.t~ ~ ~" ~ Dates of Fire:,%orks Sales: ~ 1'J~~'. .~n"~' ~€~ l~ ~~a ~:~t% i P ~`~ _ ~~ ~ ~~~ ~~~`~`~ Home/Cell: Phone: Business: ~`I~-~~~';~?:~~G` Fax: Signature: ~~~.~ j ~" ~r Owner Information Name: Address: Street Phone (w): Fax: State Zip Code Phone (h): Signature: Date: Description of Project Please describe your project/reason fox your request. If necessary, attach a written narrative. Site Plan- A site plan of the proposed location and layout of the temporary structure and its surroundings must be submitted. " ~] Site Plan completed and attached to application. Agreement to Pay Costs of Review: E-mail Address: Date: ~~~~~~ ~~ 1 ~ It is the policy of the City of Elk River to require applicants for land use approvals and licenses to reimburse the city for costs incurred by the city in reviewing and acting upon applications, so that these costs are not borne b~ the taxpayers of the city. These costs include all of