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'5 3 O»crj o <br />OF REQUEST <br />nditional Us© <br />rianc© <br />tlands Variance <br />r 'pd. <br />)FFICIAL USE ONLY <br />>uncil Action <br />litional Use Pemit <br />/ <br />/j,. <br />i <br />■> <br />! <br />/ <br />cm OF ORCfW, MIN\'E9DTA <br />Conditional Use and Variance Application. ^ <br />LOCATICN OP PROPOSAL (or property) TYPE OF REQUEST <br />Address M i Z4l^ ST._ _ _ <br />Legal Description Ufs <br />Name (AMC Phone # <br />Address <br />Present Zoning___^ /Z - /tl Present Use /^£S <br />i. <br />/ Conditional Use ^ <br />/ Varianco <br />Wetlajids Variance <br />Riprap <br />FOR OFFICIAL USB GHST <br />Council Action <br />Date <br />^proved <br />Denied <br />opeciiy urauiance i<equirei7k:'nT:s ^fe-TgAC^rS Fg^MVT 30 ^ ^ <br />Pupifcy Aufu/ct> C«K>t>rTlifK)lL O^c P eomit coimiu 20Ofy of <br />Explain Request Relative to Recfuiren^ents <br />FlMK/r ly^T ggAft lofT <br />Extent of Non-conformity Fgg<ur feETfeiCK f?FT pngAtt- fy <br />'Hardships to Prcperty (Your reascns for requesting this Variance or Conditional Use Permit <br />—3gpg<3>ui><|y..^ LtfT g/JAFe: , /pg <yfMe/2. \,AAJt> Ai/i.uJl&Lg <br />MATERIAL KECESSARY FOR COMPLETE APPLICATION <br />CMist be submittei 1 week prior to Council Meeting) <br />1. Application conpleted <br />2. Plat IJap Section <br />3. Sui^y (Sketch in proposal) <br />4. Certified Prope <br />I <br />ir\* <br />I <br />p 4. <br />under the 1 <br />regulations <br />and <br />It';v <br />plat for th <br />N <br />hereby appr <br />to the folL <br />any dkellin; <br />requirerient. <br />3. <br />4, <br />5. <br />other easeire <br />6. <br />Th <br />plat has not <br />will be nece <br />approval. <br />Dated this <br />ATTEST: