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/r t.- <br />Land Use Application <br />Street Location of Property; Cit-c n <br />Legal Deaeration of Property: >y->3 - f^jC* <br />Owner: ^\C Ic^ 4 l\I ■ <br />-fcTr’ <br />^ Vc - / e <br />^Address)(Phone) <br />Type of Request:Rezoning <br />Variance <br />Conditional Use Permit <br />Other <br />Subdivision Approval <br />Description of Request;^ 3 <br />(Applicant) <br />Please draw or attach a sketch of proposed structure showing the following: <br />1. Indicate North 6. Dimensions of proposed structure <br />2. Location on Lot 7. Proposed setbacks <br />3# Adjacent Street Names 8, Zoning in force in this area <br />4* Location setback and use of adjacent existing building <br />S. Distances between any proposed structures and structures on adjacent <br />property <br />Exhibit Submitted: <br />Map or plat showing the property affected and all lands within ISO* of the <br />boundaries or the property affected by proposed change. (5 copies) <br />Abstractors certificate listing the names and address of the owners of the <br />land within 150* of the boundaries of the property requesting the change or <br />rezoning as those names appear on the records of the County Auditor of <br />Hennepin County. <br />Petition showing 501 of property owners within 150* favoring rezoning or <br />variance. <br />poiiowing ro or tinea in ov village <br />Dironology ‘ ^ bate <br />Inspection Dept.^Vo IC -J.P.e <br />Administrator <br />1 1 1 r . 11. . . y i .. 1 <br />/ <br />Council <br />Engineer ________________________________________________________________________________________________________ <br />Planning Comm.// - A. - <br />Council U . A 7.7c <br />[Applicant Notified t <br />1 <br />i <br />Recommendations *