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OF PROPOSAL (or property) <br />Address <br />nan Review $50 <br />applicant Name jern.,. n. ..... <br />Mailing <br />Address <br />#A7^-0«57 <br />Subdivision <br />^150 + $10/Lot <br />Conditional Use Permit <br />^30.00^ <br />$50.00 <br />OWNER Name arron I'cl.:iu/:hUn <br />Mailing ~ -- --- - - <br />Address Gl^^9 Actor Ter. Kxcclsjor. i-;m. <br />Rezoning $250 <br />Vacation $100 (Minimum) <br />^ //■' yTel #^f74-76/i 11 pee <br />Present Zoning fi.(i ~ ! H <br />Date Rec'd t-1/ < <br />- - - - -Present Use j) <br />Zoning Ordinance Section Relating to Request -a.J ^ <br />' Explain your request and reasons for same To ^lont. xro. nn„ <br />Sliruh.Ci n <br />C ■ ) »—with intnnt-. of <br />sale. lio buildlnt; or structure is proposod. See .-.ttoohod letter. <br />VARIANCE required - extent of nonconformity <br />- - lot Area _ _ Setback Front_ <br />Other, explain <br />Side Rear <br />Specify hardshi <br />SUBDIVISION application Residential <br />CONDITIONAL USE AND OTHER - __ _ __ _ —.or. /uMu vmER explain proposed use of property in detail <br />r.ec ubove anci attach' d. <br />fw. . V material necessary for complete application <br />(Must be submitted 10 days prior to Planning Commissi“”“ting) <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 />5. <br />6.‘ <br />Certified Property Owner's list of <br />owners within (300*) (M»). from <br />Hennepin Co. Dept, of Finance <br />A-603 Government Center <br />Stamped, legal sized envelopes(#10) <br />pre-addressed to each of the names <br />on the above list. <br />DATE <br />/_ __ _y <br />Applicant * 8 Signature r-/-■r