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CITY OF OMB AQNNESI'A <br />Conditional Use and Variance Application <br />LOCATION OF PMPOSAL (or property) <br />Address 4*Z-RA DOS Pok <br />Legal Description _ �. cT j3 i k <br />APPLICANT <br />Nne A,IA.oN j� �� a� r,,� � , N'1ea! ; Phone n 47 -7* <br />Address t 4- 8 - M A d IZ K t' r W r, + +� r` 7 r41 A <br />CWM '1 i <br />Nana `, A mj FPS A Fa c ►e Ate- Phone 0 <br />Address <br />Present Zoning ,' '` Present Use AA�> <br />Zoning Ordinance Section ReL ting to Request <br />Specify OrdinanCe Requirements /tom_ )k ? ,r <br />TYPE OF REQMST <br />_____ Conditional Use <br />Variance <br />` Wetlands Variance <br />d Riprap <br />4/17 <br />el- <br />X 1/4 <br />POR OFFICIAL USE ONLY <br />Council ,Action <br />Date <br />Denied <br />Explain Request Aelative to c <br />Extent of Non-confondpv:�rh t KE stea • <br />to Proper+.y (Your reasons for requesting this Variance or Conditional Use Pendt <br />MTERIAL NECESSARY FOR 03WLETE APPLICA?'ON <br />Mist be submitted 1 week prior to Council !Feting) <br />I. Application comleted 4. Certif.ed Property Tr.r's List of <br />2. I,lat Map Section owner, within. (150 ft.) - <br />3. Survey (Sketch in proposal) from Hennepin County Registrar of <br />Deeds <br />S . S M . 00 Fee <br />►te >1ia' ire <br />