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) <br />cm OF OROC, MINNESOTA ^ to" ) <br />I/V-.T, Conditional Use aM variance ApplicaflSP . Vy ^ <br />WCATim OP PROPt&M, Cor prcpeny) " <br />^rea._ lpCl.b U; PF^>).Na,o ® ■ <br />l*sa Ebscription ,- <br />applicant --- <br />Conditional Use <br />V/C <br />Nane <f~f S~ Phone I / ? 3 ,----------------- ynone f <br />Address _LC±S_CV g. ^ <br />------------------------------- f <br />Address <br />-X Variance <br />____Wetlands Variance <br />___ Riprap <br />Fee <br />Present Zoning <br />POR OFFICIAL USE ONLY <br />Council Action <br />Date <br />-------------------Present Use fV r>. - I ---- <br />Zcnin* Oniinance Section Relating to Request ^-'jApproved <br />Specify Ordinance Requirements 7-T ' <br />B^lain P^est Relative to Rei.i:«ent, S' ^ e <br />X!±At^ -7^ <br />Af:< e. <br />^*tent of Nan-canfomdty <br />___________ •SOIL. CoA, ,s - ^ or Condlt <br />3. Su^y (Sketch in proposal) <br />Jrom Hennepin Camty Reiristra^ *^m^Hennepin County pigLmrVf <br />5. JR»e ST.^^- <br />Signature <br />A