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CITY OP <br />Ii'i <br />j :c <br />•J; • <br />/ f •' I ♦V HiT <br />JN 866 <br />l! I <br />•! <br />date rec'd ^ <br />■. <br />-'• // S'f- <br />^pbrty Nane 4/l/ TP <br />MaaiHr ^^^ ' -Telephone3.^^, <br />property location <br />street Address <br />>-9*1 Pe.crlptt7n ^ ^ 7^ <br />/®/1 /i- ^''’-"^■^3-iW~i>otr g) <br />Nunber of Tax Parcels <br />O«velopment Sise <br />^7-//7o3.3c/^^^,_ <br />r// 7» ?3 -3 Oe>n<^ <br />hi-^Present Use (check) <br />Present Zoning Olst. L_£r^Ci <br />Acres Dry Land <br />Acres Wet Land <br />Acres Total, all parcels <br />Residential; no. of units <br />Other (specify) <br />7 7rrs 1 <br />PROPOSAL <br />V »“iWln9lun7^subaivlaion for nee bolldln, .ites <br />If <br />number‘of building sites: <br />proposed gross density <br />minimum lot size: <br />proposed use: (check) <br />Jz£L <br />3J^ <br />existing units <br />new units <br />total units <br />units per / acres <br />square feet dry buildable land <br />residential <br />other (specify) <br />^ a*y» prior to Plannln, Co«,i.,ion oeetino) <br />A A Ann I ■ n ft 4 ^. 1 ^ . « <br />4. <br />Application completed <br />Preliminary Plat information on <br />a certificate of survey <br />Certified Property Owner's list of <br />owners within 350* - from Hennepin <br />Co. Dept, of Finance A-603 Govern- <br />ment Center <br />Stamped^ IcRal si^ed envelopes (UlO) <br />5- Ap^ctloo p«t sch.duU: <br />plan only $50.00 <br />-- -^ prelim, plat 150.00 <br />AdStM** Included) + $10/Iot Additlon.nl improvement <br />review fees per fee <br />schedule $ <br />DATE 7 / f Va, <br />DATE <br />Appli hereby aa <br />applicants sigmatur^ <br />owner’s signature