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cm OF ORCNO, HD^SOTA <br />Caiditianal Use and Variance Appllca <br />U3CATICN OP PROPOSAL (fir pn^rty) . <br />I**a Descriptlo. <br />APaiCANT ^ <br />^ Conditional Use <br />___ Variance <br />Wetlands Variance <br />Riprap <br />»5•u <br />/</>—Fee <br />cauA9^t^ ^w/va<Phone i FOR OFFICIAL USB CNLf <br />Council Action <br />roved <br />Pre«»t t^=d^. !C t,^ ^ <br />tou* Ordinance Secticn Reletln* to ttn»st 3ti^ •/»•»*> <br />Specify Ordinance Requirements CoAfD, ^ <br />kE^Uiiftp —£j05 ---fl^K rAfiP C£A/r^^ <br />fiqplein Reqpjest Relative to Reaulransnt* *. ___ • . _ <br />Extent of Non-confbmlty A « <br />‘Hardships to Property CYour <br />"•««* fcr lOTiastiiig this Vsrlsnco «• CenditlOBSl Use taatt <br />1. <br />2 <br />3 <br />. plication coopleted <br />• Pl^ Mp Section <br />. Slavey (Sketch in proposal) <br />4. Certified Property Owner !sList_of <br />CMiers within (300 ft.> mmMj^ ^ <br />fro^Hennepin Casity Re^stn^^ <br />5. 1^.00 Feo <br />P«te J»- y- 7y Signature <br />\