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'L ^ V m: <br />q^rement of <br />is iqiproxi- <br />Area and <br />'Hie lots di <br />il adjacent <br />t'v <br />• '• Si <br />!(.: <br />' vfe., <br />■V <br />• y*. <br />* <br />i ^ <br />•i <br />: •:-. .1^; : ; i iifc. <br />^ . >'-7^ <br />mcaticw of proposal <br />ciry OF ORtwo, Minnesota <br />nal Use and Variance Application//^ <br />type of request <br />___ Conditional Use <br />•-r <br />applicant <br />Name <br />Phone <br />Variance <br />Wetlands Variance <br />t !• • ■.• <br />aVNER <br />Name <br />18 <br />Address <br />^°"“8 <br />Phone # <br />Zoning Ordinance Section Relating to Request <br />Specify Ordinance Requirements <br />r-^ - I 1^ <br />Explain Request Relative to Requirements <br />r<^<CAryir> <br />FOR OFFICIAL USE ONLY <br />Council Action <br />I* <br />Date <br />Approved <br />Denied <br />i <br />rf-% <br />s .Z/ ! <br />« <br />Of Non-conforadfy <br />i' ♦ <br />f r r <br />i» <br />®‘s;‘gcss'"^ <br />Survey (Sketch in proposal) <br />weeK prior to Council Meeting) <br />'*. Certified Property Owner's List nt <br />^ere witha (300 ft.) (iso ft f. <br />^^Hennepin County Registrar of <br />5. $30.00 Fee <br />Date <br />Signature <br />If <br />; • <br />. ..« <br />Cst'f' •'*< _ ... <br />I hei'.jby <br />f i^yw'c;,' of +} <br />-^sUn; <br />Luf <br />w ”0 iin • <br />Lcto