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ALC L 9 / date ec'd S <br />g „�,.,,. , by <br />j�� - fee r 'd 1 • uU <br />CITY OF R RONO �• / ` 5�3'70 <br />SUBDIVISION APPLICATION FORM <br />APPLICANT Name P� Telephoner t,/,7,;? <br />Mailing <br />AddressZD /✓ <br />PROPERTY Name / ! 61,1 %%iP Telephone <br />OWNERS Mailing �p / <br />Address �S�U ///! P� �.�ii1S _ ��lJd �UcCl1� / A✓) <br />(Attach list of more than once) <br />PROPERTY LOCATION <br />Street Address 407R0 U Ar»-2 Ar �e.S �� /L/o a nd" 14. 17, <br />Legal Description Lel 539 S/f <br />(PID) - // % -,T 3.. 23 CEO <br />EXISTING LAND USE <br />Number of Tax Parcels _L <br />Development Size Acres Dry Land °1 O <br />Acres Wet Land <br />Acres Total, all parcels .f7.2O <br />Present Use (check) Residential; no. of units _L <br />Other (specify) <br />Present Zoning Dist. <br />PROPOSAL lot line rearrangement only (no new building sites) <br />_k,-' s,ibdivision for new building sites <br />number of building sites: / existing units <br />new units <br />_ total units <br />proposed gross density units per acres <br />minimum lot size: square feet dry buildable land <br />proposed use: (check) ,� residential <br />other (specify) <br />MINIMUM MATERIAL NECESSARY FOR COMPLETE APPLICATION <br />(Mus*_ be submitted 10 days prior to Planning Com.ission meeting) <br />1. Application completed 5. Application fee per current fee schedule: <br />2. Preliminary Plat information on <br />a certificate of survey sketch plan only $100.00 <br />3. certified Property Owner's list of 2 lot prelim. plat 32$0.09b <br />owners within 350' - from Hennepin <br />Co. Dept. of Finance A-603 Govern- 3+ lot prelim, plat $240.00 <br />ment Center (sketch plan included)+$20/lot <br />4. Stamped, legal sized envelopes (#10) Additional improvement <br />pre -addressed to each of the names on review Zees per fee <br />— the above '1st. gchedule5 •wa <br />pVr APPLICAUTS SICNATUK: rA <br />DATE 7 - L - p' j OWNER'S SIGNATURE _ <br />Applicant hereby agrees to provide all informa ion required or requested by <br />the Zoning Administrator, City Engineer, City Attorney, Planning Commission <br />and Council necessary to process this application and further agrees to pay <br />all additional fetes established by ordinance. <br />