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City of Douglas Conditional Use Permit Renewal 101 N. 4th Street / P.O. Box 1030 Douglas, Wyoming 82633 [PHONE REDACTED] / Fax: [PHONE REDACTED] Applicant Name: Property Address: Mailing address: Phone No.: Please enclose Permit Renewal Fee of $30.00 Please Complete Information Explain why you originally applied for a conditional use permit. If conditional use permit is for animals, please state the type of animal and how many. Are you still using the conditional use permit as stated above? Yes No If modified, please explain, Staff Review and Use Only Renewed: Yes No Date: Receipt