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*Ki <br />CITY OF ORW, M1JWC50IA <br />OGndition£d Use and Variance l^licati( <br />%:• <br />LOCASION OF PBOFOSAL (or property) <br />MOVMS I.X. <br />k' <br />■.-♦APEUCMir <br />Hsme <br />Date property was acqui '>7- 7? <br />TYPE OP raauEsr. . <br />4 <br />_ _ Conditional Use <br />X Variance <br />Wetlands Variance <br />Address 7 ''Tc^ /< <br />(XilBR 7 <br />Wene Phone « <br />Mdbeess <br />Present Zoning M-/A Present Use Uie. <br />Zoning Gcdinanoe Section Relating to Iteqpjest <br />Sepeify Qcdlnanoe Regulrenients <br />jc Pee <br />FOR GEFIdAL USE ONLY <br />Council action <br />Date <br />Approved <br />Denied <br />• e <br />r ■ <br />3^^ »t. <br />^9e' / <br />Q^lain Regoest Relative to Reguirenents ^ /C a <br />?r. <br />Octent of Ncn-oonfOTid^ <br />•- ^/yp3 <br />HaxdehipB to Property 7/^ 4 i. /-T ^ & C <br />^*c<r c. <br />MEflERIAL NECESSARY FOR OOMPII3TE AFPLlOYnON <br />(Must be submitted 1 week prior to Council Meeting) <br />AEplication oonpleted <br />Plat Map Section <br />Survey (Sketch in proposed) <br />4. Abstractor's Certificate of Property <br />Owners Within Ft. <br />5. $30.00 Fee <br />Date /f signature.. -^CZJ.y <br />**. t5 — •/ • / <br />‘■va <br />I