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Village of Orono ' <br />C Fee <br />11101K USE PEai <br />�`. Case No. f <br />Date_.. y _ t_b• <br />VILLAGE OF ORONO <br />For tioa•Cooforsia= US* Crystal Bay, "linnesota <br />(Complete in Duplicate) <br />This form to be used in all applications for conditional use permits <br />and for rezoning, dividing or consolidating parcels of land, vacating <br />streets, alleys and variances. <br />Type of Apt. ation Non-Cot,`ormi-,w Cwnoitional us1pate <br />Owner of Pros,arty: Name b•,_it: _ 10 rr +_Phone No. 471-92A11 _ <br />Lr•n:nrd ltuckley Address 344'i Grystrtl PlaCa __ <br />Applicant (other than owner): Name Phone No _ <br />Address <br />Relationship to Owner ' <br />Engineer: Name_ _ Phone No. <br />Land Planner: Name _ _Phone No. <br />Subdivider: Name _ _ _ Phone No. <br />Location (How do we find it?) <br />Legal Description: Lot ., MI. A. Plat 4274U_X"em1 1ML <br />Date Acquired Area (sq. ft.)7,000 Separate Ownershir _ <br />-- Single Owucrship_� <br />Date of last division of this property <br />Do you own any adjoining prcperty? <br />Action Requested pop;Copf�� _Vaal for op►alsysrrpys <br />Signature of Applicant <br />RECORD OF ACTION TAKEN <br />Date +� Action <br />Inspection Dept: �'� y-_J E� ' A <br />Administrator: <br />Village Council: <br />Village Engineer: - <br />Village Attorney: <br />Planning Commission: H R <br />Village Council: <br />Permit Issued: Date SEP 1 3 IM <br />Condition of Non -Conforming Use: <br />ry , i,.Irry dove. Living <br />lc,:..l _c:r.;-•7,600 square fact, 11�` <br />