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ild also be designated <br />c setback from <br />sary. <br />5 engineer to <br />testing to determine <br />sider the following <br />r an out-patient <br />ed for another <br />€ may wish to <br />und Dickv Lake <br />Land Use Application <br />LOCATION OP PROPOSAL (or property) <br />------Aa g/tt __ <br />I^gal Description ^ <br />i/.y , <br />Present Zoning <br />type of application <br />Sketch Plan Review $50 <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 /(% . <br />Date Rec*d *7 - f/ <br />By - V . I . aUrr;-^ <br />MI' /f.Present Use_ _i a c <br />Zoning Ordinance Section Relating to Request <br />Specify Ordinance Requirements _(, / //.„ y <br />- - - - -—^ i ... )■/? /j? /— <br />Explain your request and reasons for same <br />-L <br />may I 11981 <br />t f(MV)^ <br />\ Width other, explain Rear <br />hardships to property <br />I CONDITIONAL DSE AND OTHER - explain proposed use of property in detail <br />tu, 4. r. material necessary for COMPLETE APPLICATION <br />(»t>st be submitted 10 days prior to Planning OommiS mating) <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 />/ <br />( <br />6. <br />DATE )■/y ^ f <br />DATE <br />Applicant's Signature <br />Owner's Signature <br />Certified Property Owner's list c <br />owners within<^JgQ9 (150')- fron <br />Hennepin Co. Dept, of Finance <br />A-603 Government Center <br />Stamped, legal sized envelopes(#] <br />pre-addressed to each of the name <br />on the above list. <br />--------71 -----------------------H Dxqnacure/y^wiifc s*! <br />Applicant'hereby agrees to provide all infoiZiaTTri ^ <br />the Zoning Administrator, City Engineer, City AttorL?“^lfnnina*^ < ^ ^ <br />and Council necessary to process this application and^furth^r ^ ^mmission <br />all fees as established by ordinance. agrees to pay <br />5/78