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TYPE OF APPLICATION <br />_ _ Sketch Plan Review $50 <br />Subdivision <br />$150 + $10/Lot <br />_ _ Cond^ional Use Permit <br />^$30.00 <br />_ _ $50.00 <br />_ _ Rezoning $250 <br />_ _ Vacation $100 (Minimum) <br />FEE 30 •oo f 7 7 <br />Date Rec' d to - _ _ <br />By ^ ^ - <br />m 8196 <br />OF ORC <br />Rear <br />- 3^,s• /iL^ <br />^9al Description______________________________ <br />applicant Name_^U,4jC^4/!:So.7 Tel »4W/>S3 <br />Mailing <br />Address fiUk.oi^/Ji\,u /}>, f/lti/U.A/v. ________ <br />OWNER Name Wal. /Jei^^cJ <br />Mailing <br />Address 5. >l/€ • <br />Tel #7>«? y57/ <br />^Present Zoning <br />Subdivision <br />$150 + $10/Lot <br />_ _ Cond^ional Use Permit <br />$30.00 <br />_ _ $50.00 <br />_ _ Rezoning $250 <br />_ _ Vacation $100 (Minimum) <br />FEE 30 ^ ^ 7 7 <br />Date Rec' d // _ <br />By ^ . /Sf. iV\ <br />V'Present Use <br />'/'Zoning Ordinance Section Relating to Request <br />>^pacl£y Ordinance Requirements _ _ _ _ _ _ _ _ _ <br />WN 8198 <br />OF ORC <br />Bi^lain your request and reasons for same r rr <br />VARIANCE required - extent of nonconformity <br />Lot Area _ _ Setback Front_ <br />_ _ Other, explain <br />Side Rear <br />Specify hardships to pi <br />SUBDIVISION app.Reside]^ fW-Kor. ^acplain <br />•f Lots <br />i/^CONDITI<MIAL USE AND OTHER - explain proposed use of property in detail <br />^ « 12~L'U oJM icLc^ C<re\.l(T <br />MINIMUM MATERIAL NECESSARY FOR COMPI£TE APPLICATION <br />(Must be submitted 10 days prior to Planning Comnission meeting) <br />1. Application coropletad C^jT^ertified <br />2, **^lat map section owners within^(300*^^4NNN*)-* from <br />3^ Certificate of survey of property Hennepin Co. Dept, of Finance <br />sketch location and setbacks of Ar-603 Government Center <br />proposal ■—6. *^Stamped, legal sized envelopes (#1< <br />4. Construction plans, it ^pplicable pre-addressed to each the name <br />on the alJOve lis <br />DATE f Applicant's Signature <br />Owner's Signature <br />'eCc.. <br />. \ VDATE_ _ _ ___ _ _ _ _ __ <br />ADDlicant hereby agrees 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 <br />f