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CITY OF ORCTJO, ^^T^^^S90TA <br />Ccnditional Use and Variance AppUca <br />LOCATICN of PRO.XiaM Cor property) <br />Address -----lL,iyJ'y4r^^ ma/ 7<ft <br />r *• J <br />gal Description r-a^K <br />APPLICAYT <br />^ - //^?/ <br />n^HALf?. /T ___________Phone <br />Address <br />CI\^'ER <br />iLd±^JIA^JitaL 5^ Fee <br />Name r>»>r>r ^ p <br />Address <br />Ph<sie I <br />Present Zoning j^-/C 4- Af/ti) Pro-^^-t ».. ^,45, <br />Zdniag Ordinance Section Relating to Request yqS^X <br />REQUEST <br />Conditional Use <br />Y Variance <br />___ Wetlands Variance <br />Riprap <br />FOR OFFICIAL USE ONLY <br />Council Action <br />Date <br />Approved <br />Denied <br />Specify Ordinance Requirements LtTAHEA->\.-}Pr, ta Af - u^^rl TTI^ <br />S/PE sS.r/l/fa(' -^/a'---- ------ -fATSAC/^ <br />Explain Revest Relative t. Re^lrecents <br />lit>gj.lt)t. ty ,rtf yA./HAAC£A ■ ml6T AtlEA ~ //. / f y ff.. g>- <br />30,r at ^ ^ ^ <br />^nt ,f Na,-ca,£o™ify UOT^A^a ~ t o, , . a ---------------------p <br />SlDC S(S r<iAr/r - ------- PSA^ <xri-a«/<iar/»- ■»■ 1 <• " <br />lUrdshlps re<p»stin, tMs Variance or C«dltional Us. Pen.it <br />f/,i /.y !iT/ry^ itftT tinr.^/ t/ir .pft.A <br />^ .... -x-x,/ .../ <br />/ <br />^ ----------------------------- <br />^TCRIAL ]^CESSARY FOR COMPLETE APPLICATION <br />(^tist be submitted 1 week prior to Council Meeting) <br />1. A^lication conpleted <br />2. Plat Map Section <br />3. SuK-ey (Sketch in proposal) <br />4. Certified Property Owner's List of <br />o^e7le^s within tmfnjj (150 ft.) - <br />from Hennepin Camty Registrar of <br />DeedsDeeds <br />e $}0.00 Fee <br />Signature <br />I