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1 <br />Aoaress <br />'d.. Conditional Use Permit <br />0 -i <br />ig and filling Job <br />nskeeper** was asked <br />ed land alteration, <br />uncil approval and <br />gnated pond to a third <br />o the north of the pond, <br />feet and graded. All <br />ced in the fill area, <br />d to meet the existing <br />in the City right of way <br />erosion control measures <br />ding area. <br />tie contractor to reap <br />rise of bringing the <br />Planning Commission’s <br />:>ne. <br />la Country Club <br />L fill creating a <br />on the following <br />trty oviiers <br />:tion drainage area. <br />1 control devices and <br />)ssible. <br />Legal Description <br />APPLICANT Name Tel # <br />Mailing ^ <br />Address r / v. a/hf}/ ^ <br />$150 + $10/Lot <br />Conditional Use Permit <br />_ _ $30.00 <br />_ _ $50.00 <br />Rezoning $250 <br />Vacation $100 (Minimum) <br />OWNER Name <br />Mailing <br />Addr e s s ^^0 //) <br />Tel # FEE <br />Date Rec * d y <br />By \ d . /A ■ <br />Present Usei/ Present Zoning - //^_ _ _ _ _ _ _ <br />Zoning Ordinance Section Relating to Request j <br />Specify Ordinance Requirements _ _ _ _ _ _ _ _ _ _ <br />3/. 3L 7C^ <br />3 t, -71^ <br />I. <br />Explain your request and reasons for same <br />Q*J ^ ^ 3 4 ff'ti-L. 5*'*''■•**,* * .* »*^ .'* *• ' ^,.'*** <br />LAKy Atj, Pi\)h ^ /T' r ____ <br />(cA^l iCAf' ft'A.ji yyn,: ) o T:' <yc.ii.irA;c eyfC'Ai.i. <br />VARIANCE required - extent of nonconformity <br />•t Area _ _ Setback Front_ _ Side Rear <br />Other, explain <br />Specify hardships to^^rdp^rty^ <br />SUBDIVISION application Residential ler, explain »! <br />No. of Lots <br />CONDITIONAL USE AND OTHER - explain proposed use of property in detail <br />MINIMUM MATERIAL NECESSARY FOR COMPLETE APPLICATION <br />(Must be submitted 10 days prior to Planning Commission meeting) <br />4. <br />Application completed 5. <br />Plat map section <br />Certificate of survey of property <br />sketch location and setbacks of <br />proposal 6. <br />Construction plans, if applicable <br />Certified Property CVner'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 the above list. <br />DATE tf <br />DATE <br />Applicant's Signature <br />I , ■' <br />Owner's Signature < <br />,1 / /c/v.. <br />‘V I* > » T - ' <br />Applicant hereby agree); to provide all information required or requested by <br />the Zoning Administrator, City Engineer, City Attorney, Planning Commission <br />and Council necessary to process this application and further agrees to pay <br />all fees as established by ordinance. <br />5/78