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#697 JU.30HS <br />EXHIBIT <br />date rec*d <br />by Vtf Hi_______ <br />fee gec’d <br />Mailing / ' ^ ^ <br />yS^C A^trtr^y yfV <br />PROPERTY Name <br />OWNERS Mailing <br />Address * <br />(Attach list of more than one) <br />Telephone _ <br />Rd. - Preliminary Subdivision <br />Line Rearrangement <br />preliminary approval <br />X, <br />Ions (this survey shows <br />quired for the public <br />arage to be constructed <br />d of a variance. Staff <br />Rest Point subject to <br />\ must meet all standards <br />y new access off Rest <br />ge on lot 1. <br />Legal Description <br />(PID)^ 7«=^ ^ v3~*^ ^ ^ <br />EXISTING LAND USE <br />Number of Tax Parcels <br />Development Size <br />/ <br />f , • <br />Present Use (check) <br />Present Zoning Dist. <br />Acres Dry Land <br />Acres Wet Land <br />Acres Total, all parcels <br />Residential; no, of units <br />Other (specify) ^_ _ _ <br />PROPOSAL lot line rearrangement only (no new building sites) <br />subdivision for new building sites <br />number of buildi.n9 sites: <br />proposed gross density <br />minimum lot size: <br />proposed use: (check) <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 />MINIMUM MATERIAL NECESSARY FOR COMPLETE APPLICATION <br />(Must be subnutted 10 days prior to Planning Commission meeting) <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 />Stomped, legal sized envelopes i910) <br />pre-addressed to each of the names on <br />the above list. <br />5. Application fee per current fee schedule: <br />sketch plan only <br />2 lot prelim, plat <br />3-f lot prelim, plat <br />(sketch plan included) <br />Additional improvement <br />review fees per fee <br />schedule $ <br />$50.0 0 <br />200!w <br />+ $10/Iot <br />DATE <br />DATE <br />APPLICANTS SIGNATURE <br />owner's signature <br />IZ <br />lation required or jp^uested bv <br />and Council^^essarv ^ Engineer, City Attorney, Planning Commission