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m <br />mivll "V <br />■lA'H <br />hOCATiaS OF PROPOSAL (or property) <br />Addres. 3 3^0 tA/. <br />Legal Description <br />APPLICANT Na <br />Mailing i^0 <br />Tel <br />Address <br />OWttER Name <br />Mailing <br />Address <br />Tel # <br />Present Zoning ^ ~ <br />Sketch Plan Review 5d0> <br />Subdivision <br />$150 + $10/Lot <br />Conditional Use Permit <br />$30.00 <br />$50.00 <br />Rezoning $250 <br />Vacation $100 (Minimum) <br />FEE Ji / < • <br />* « <br />Date Rec'd_l_ <br />By _ _ _ <br />) <br />Present Use ^ . Al' I L aL <br />Zoning Ordinance Section Relating to Request <br />Specify Ordinance Requirements <br />Explain your request and reasons for same <br />^ ^ 7^:— <br />VARIAHCB required <br />_ _ Lot Are: <br />Width <br />extent of nonconformity <br />_ _ Setback Front_ <br />_ __ Other la in _ <br />Side Rear <br />Specify hardships to xty <br />SUBDIVISION application Residefltial Other, explain <br />No. of Lots <br />ITIONAL USE AND OTHER - explain proposed use of property in detail <br />MINIMUM MATERIAL NECESSARY FOR COMPIXTE APPLICATION <br />ippr (Must be submitted 10 days prior to Planning Commission mee <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 />Stamped, legal sized envelopes(#1 <br />pre-addressed to each of the name <br />on theoabove list. <br />r.r. <br />DATE Ai^licant's Signature