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I - SUBDIVISION <br />LOCATION OF PROPOSAL (or property) <br />Address /^ <br />Legal Description <br />APPLICANT MamA .,>7 y />. * <br />Mailing <br />Address _ _ _ _ _ ___ ___ _ _ _ _ __ _ __ <br />OWNER Name <br />Mailing <br />Address <br />Tel # <br />Subdivision <br />S150 + $10/Lot <br />^^Conditional Use Permit <br />_ _ $30.00 <br />^j^SO.OO <br />Rezoning $250 <br />Vacation $100 (h^nimuE. <br />4z=M fFEE <br />Dafce Rec' d <br />Present Use <br />Present Zoning ^ <br />zoning Ordinance Section Relating to Request <br />Specify Ordinance Requirements —^JAAA. <br />Explain your request and reasons for same <br />residential units of <br />ree acres of wetlands, <br />ordinance requires <br />ict. The unique shape <br />formal two lot plat. <br />cess - only one curb <br />uire a Flowage and <br />etback already designated <br />within the confines of <br />listing house on Lot 1 <br />conforming structure and <br />tructure must be located <br />k area. Opeh or commons <br />2. Because of the <br />B majority of the <br />nend a front footage <br />J a separate dock based <br />requUed - ex^ Side <br />Width - - <br />Rear <br />Other, explain <br />Specify hardships to property <br />SUBDIVISION application Residential Other, explain — <br />No. of Lots_ <br />CONDITICMIAL USE AND OTHER - explain proposed use of property in detai. <br />minimum MATERIAL NECESSARY FOR CO^LETE <br />(Must be submitted 10 days prior to Planning Commxssx <br />1. Application completed <br />2. Plat map section <br />3. Certificate of survey of property <br />sketch location and setbacks of <br />proposal <br />4. Construction plans, if applicable <br />Hennepin Co. Dept, of Fxna <br />A-603 Government Center _ <br />stan,ped, legal siaed envelo^.^ <br />pre-addressed to each of the <br />on the above list. <br />- •> <br />DATE y.r <br />• r <br />DATE <br />■J&JJjL <br />)ATE- - - -- - - - - - - - - owner's signature 'oTTequerted bv- <br />Applicant hereby agrees to provide all information 4 planning Commission <br />alld ?^uicil^^ceisa“^?o'procLr?hirappU and further agrees to pay <br />all fees as established by ordinance. 5/78 <br />^4 ' ^ /