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• Land Use Application <br />LOCATIC»J OF PROPOSAL (or property) <br />Address h m Hrmy} (Pyirn^/y <br />Legal Description ' rK'/l <br />APPLICANT nameflili/lfO/: j.f _____ Tel <br />Address PI^/ m ^ fW n <br />TYPE OF REQUEST <br />y Subdivision $150 J-$5/Loti <br />Conditional Use $50 <br />Variance $50 <br />Rezoning $250 <br />Riprap $15 ($65) <br />OWNER Name A\t^' <br />Mailin^ <br />Address _ _ _ _ _ _ _ <br />Tel #fee V:^« _ <br />Date Rec*d <br />By <br />Present Zoning Present Use Eg^ <br />Zoning Ordinance Section Relating to Request <br />Si>ecify Ordinance Requirements ______________#39 Q <br />Explain your request and reasons for same <br />VARIANCE required - extent of nonconformity <br />_ _ Lot Area _ _ _ Setback Front_ <br />Width _ _ <br />Side Rear <br />Other, explain <br />Specify hardships to property <br />SUBDIVISION application 1^ Residential Other« explain <br />No. of Lots <br />CONDITIONAL USE AND OTHER - explain proposed use of property in detail <br />MINIMUM MATERIAL NECESSARY FOR COMPLETE APPLICATION <br />(Must be submitted 10 days prior to Planning Commission meeting) <br />Application completed <br />Plat map section <br />Certificate of survey of property <br />sketch location and setbacks of <br />proposal <br />Construction plans, if applicable <br />Certified Property Owner's list o: <br />owners within (300*) (150*)- from <br />Hennepin Co. Dept, of Finance <br />. A-603 Government Center <br />6. Stamped, legal sized envelopes(#1 <br />pre-addressed to each of the namei <br />on the above list. <br />DATE s Applicant's Fignature <br />DATE Owner's Signature <br />Applicant hereby agrees to provide all information required or requested by <br />the Zoning Administrator, City Engineer, City Attorney, Planning Commission <br />and Council necessary to process this application and further agrees to pay <br />all fees as established by ordinance.