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VILLAGE OF ORONO <br />Land Ilse Application <br />Case No. / <br />Fee �, Q Q :5 <br />Date <br />Street Location of Property:_ (o N `1 .i 1-\,o la i - TZ i L 1; X 6 " Apv�r <br />Leval Description of Property: .5c, rt I `f 1 2. <br />Owner: /JA&v..l? L O Z <br />(ie) (Address) ress gone <br />Type of Req>>es t : <br />Conditional Ilse Permit <br />Aarinnce Other <br />X. Subdivision <br />Rezoning <br />Apnrovnl <br />Description of Request : V(k , <br />(Applicant) ONner <br />Please draw or attach a sketch of proposed structure shoi,ing; the following: <br />1. <br />Indicate <br />North <br />6. <br />Dimensions of nroposed structure <br />2. <br />Location <br />on Lot <br />7. <br />Proposed <br />setbacks <br />3. <br />Adjacent <br />Street Names <br />^. <br />Zoning in <br />force in this arca <br />4. <br />Location <br />setback and <br />use of adjacent <br />existinn <br />building <br />5. <br />Distances <br />`):-tween any <br />proposed structures and <br />structures on adjacent <br />property <br />Exhibit Submitted: <br />Nap or plat showing the property affected and all lands within 300' of the <br />boundaries or the property affected by proposed change, (5 conies) <br />Abstractors or attorneys certification listing± the names Ind address of the <br />owners of the land within 300' of the boundaries of the nroperty reduostinG <br />the change or rezoni.nn ss those names appear on the records of the County <br />Auditor of Hennepin County. <br />Petition snowing 50% of nroperty owners within 300' favoring rezoning or <br />variance. <br />Following O be tilled In by VIL111ge- <br />CAronologyDate <br />Q <br />Inspection Dept. <br />dniinistrator <br />ouncil <br />— <br />n ineer_ <br />I <br />lannin g Comm. <br />uncil <br />vo <br />liCAnt Notified <br />I%. commend moons: <br />