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TYPE OF APPLICATION <br />Sketch Plan Review $50 <br />^ Subdivision <br />$150 + $10/Lot <br />Conditional Use Permit. <br />• «9i«nRezoning $250 <br />Vacation $100 (Minimum) <br />PEE <br />Date Rec'd, <br />By _______! <br />f/IAKI Ki <br />'W.—/o <br />a c <M <br />1 <br />Rear <br />uy»Ti«r OP PR0^f7^J’'^pf^j <br />-------- r - <br />^g^Application <br />Address <br />TYPE OF APPLICATION <br />. f <br />X Sketch Plan Review $50 <br />_ Subdivision <br />fUJJijfoinxr <br />$150 + $10/Lot <br />Conditional Use Permit. <br />^ *dkdML <br />J/wc'AXJ L. .<^tl <br />f<-l5^0.00 <br />OWNER Name <br />Mailing <br />Address <br />3c.__ Tel #. <br />Rezoning $250 <br />Vacation $100 (Minimum) <br />FEE <br />Present Zoning <br />Date Rec' d. <br />By __ _ _ _* <br />Present Use <br />Zoning Ordinance Section Relating to Request <br />Specify Ordinance Requirements <br />Explain your request and reasons for s£une <br />3 d I fo-Ke /o*/-! <br />VARIANCE required - extent of nonconformity <br />—lot Area _ L^etback Front <br />l^Width Other, explain <br />Side Rear <br />Specify hardships to property /iu* ^ <br />SUBDIVISION application c/Residential Other, explain <br />_ No. of Lots <br />CONDMIONM, USE MID OTHER - explain proposed use of property in detail <br />/U <br />MINIMUM MATERIAL NECESSARY FOR COMPLETE APPLICATION <br />(Must be submitted 10 days prior to Planning Commission meeting) <br />Application completed <br />Plat map section <br />C**^^iFicate of survey of property <br />sketch location and setbacks of <br />proposal <br />Oohs'truction plans, if applicable <br />DATE /olnS'/iQ Applicant's Signature <br />n»'TE' <br />Certified Property Owner's list of <br />owners within (300*) (150*)- from <br />Hennepin Co. Dept, of Finance <br />A-603 Government Center <br />Stamped, legal sized envelopes(#10 <br />pre-addressed to each of the names <br />on the^'SUbye list.