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V <br /> UNIFORM LAND USE CONFIRMATION FORM <br /> (Information to be supplied by person requesting information) <br /> (submit 2 copies of this form) <br /> A. Subject Property: 875 Wayzata Boulevard West, Orono, Minnesota <br /> B. Legal Description: See attached Annex 1 <br /> C. Property Tax ID #: 35-118-23-44-0005, 35-118-23-43-0003 <br /> D. Person Requesting Information: <br /> Thomas F. Dougherty <br /> Lommen, Nelson, Cole & Stageberg, P.A. <br /> 2000 IDS Center <br /> 80 South Eighth Street <br /> Minneapolis, MN 55402 <br /> E. Telephone: 612-339-8131 <br /> F. Response Requested by: Wednesday, July 28, 2004 <br /> G. The use of the Subject Property is described as: (Be specific and describe the project <br /> located or to be located on the Subject Property): Senior care facilities, possibly <br /> including long term care facilities, assisted living facilities, independent housing and <br /> adult day care. <br /> (Information to be Supplied by Municipality) <br /> 1. The Subject Property is designated in the Comprehensive Plan as: Rural Residential <br /> 2 acre minimum <br /> 2. The current zoning classification for the Subject Property is: RR - 1B. One Family <br /> Rural Residential District <br /> 3. There are x /are no applications filed for the Property (e.g., zoning, <br /> subdivision, special use permit, conditional use permit, variance site plan approval, <br /> etc.) (For a brief description of filed applications, see Comments.) <br />