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j| <br />•Mi <br />Land Use Application * <br />I4>CATI0N OF PROPOSAL (or property) <br />Address I3>^^ K )<r>. Ac>^>y <br />9 <br />Legal Description (P/^Ay <r£l ^L/fPo^y <br />APPLICANT Name (Zv>/U ^ Tel %_j4ce2 <br />Mailing <br />type of request <br />ivision $150+?5/Iot <br />Ag>/\ 02 <br />owner Name S» . ^ <br />Mailing <br />Address _ _ _ _ _ _ <br />Tel j^SAM^ <br />Present Zoning ^ i <br />itional Use $50 <br />l/^ Variance $50 <br />FEE <br />Da <br />By <br />Rezoning $250 <br />Riprap $15 ($65) <br />-7? ^Date Rec'd ~ <br />ci /'}v 9 9 Z. <br />Present Use oc-l rr-t/U.^ <br />Zoning Ordinance Section Relating to Request —^/■— <br />Specify Ordinance Requirements _7 ■■■g/?n4 Arrf <br />~n?.tAc7u<gfc. <br />Explain your request and reasons for same |AOQ<T~toO- <br />l’7*x Zc, ^ ieVf4_*__________________________ <br />VARIANCE required - extent of nonconformity <br />lot. Area _ _ Setback Front- - Side <br />Width i/^ Other, explain __A_ <br />Rear <br />Specify hardships to property <br />SUBDIVISION app^cation Residential Other, explain <br />No. of Lots <br />CONDITIONAL USE AND OTHER - explain proposed use of property in detail <br />minimum material necessart for complete application <br />(Must Le submitted 10 days prior to Planning Commission meeting) <br />1. <br />2. <br />3. <br />4. <br />Application completed <br />Plat map section <br />Certificate of survey of property <br />sketch location and setbacks of <br />proposal <br />Construction plans, xf applicable <br />5. Certified Property Owner's list o <br />owners within (300') (150* )“• froii <br />Hennepin Co. Dept, of Finance <br />A-603 Government Center <br />6. Stamped, legal sized envelopes!#: <br />pre-addressed to each of the nam< <br />on the above list. <br />DATE <br />DATE <br />Applicant's Signature <br />Owner's Signature <br />annUfMant herebv agrees to provide all infonn^ion required'’ or requcs^^ ^ <br />XfJSSutrator. City Engineer, city Attorn^ P« <br />and council necessary to process this application and further ag <br />all fees as established by ordinance. 5/78