PETITION FOR CONDITIONAL USE PERMIT
CITY OF CAMERON, MISSOURI

FEE: $75.00
PAYABLE TO: CITY OF CAMERON

DATE: ___________________________

Pursuant to the provisions of Ordinance No. 3939, Section 13.333, the following petition for a conditional use permit is submitted  for property located at approximately:
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Name, address, and phone number of Petitioner: ___________________________________
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Present Zoning classification of property: ________________________________________

Brief description of intended use of property: ______________________________________
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Explain any special circumstances that justify this permit and why the granting of this permit
will not materially injure other property or improvements in the neighborhood.
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Plans indicating proposed improvements of changes should be submitted for review to the
City Planning and Zoning Division, City Hall, 205 N. Main, Cameron, Mo. 64429

Legal Description of Property                                              Signature of Owner(s)
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