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Fee: �.1,5, c o <br />Case No: <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />(Complete in Duplicate) <br />This form to be used in all applications for special use permits and <br />for rezoning, dividing or consolidating parcels of land, vacating <br />streets, alleys and variances. <br />Type of Application �i,�,E-. Date - /S_ _ <br />Owner of Property: Name# ed,-/ L: r,� /u �� _Phone No. <br />Address 3445 el.154 <br />Applicant (other than owner)? Name —Phone No. <br />Address <br />Relationship to Owner <br />Engineer: Name <br />Land Planner: Name <br />Phone No. <br />Phone No. <br />Subdivider: Name C u,n oc ,— Phone No. <br />Location (How do we find it?) <br />Legal Description: /, ki1,,,3 P,--. I1 e, - /Fr'n <br />—'�I inglOwners ip <br />Date Acquired 154 6 Area (sq. ft.) Separate VnershT—P <br />Date of last Division of this Property <br />Do you own any adjoining property' Ye <br />Action Requested "�%✓, .5�0 c / f� t i n r� __�Y� rye/5 <br />Signature of Applicant <br />RECORD Oc ACTION TAKEN <br />Date Action <br />Inspection Dept. - 1�PAQ If - inf,C �z> Qdi-„ . <br />Administrator: <br />Village Council: __J L-I i <br />Village Engineer: <br />Village Attorney: <br />Planning Commission: i7_ / GQ <br />Village Council: <br />Permit Issued: Date <br />