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/' <br />iee Yy, c c <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 resonin , dividing or consolidating parcels of land, vacating <br />streets, alleys and variances. <br />-------------- <br />Type of Application�+s, d.I Date <br />Owner of Property: Name 1)a✓, DDre i/ Phone No. <br />Address 1.:zef� <br />Applicant (other than owner): Name Phone No.i <br />Address <br />Relationship to Owner <br />Engineer: Name Phone No. <br />Land Planner: Name Phone No. <br />Subdivider: Name -,c% Phone No. <br />Location (How do we find it!) ,��e,5 <br />Legal Description: „ -fey o p L <br />Date Acquired / c� Area (so.ft.)� Parate OwnershOwnersni <br />� <br />Date of last division of this property <br />Do you own any adjoining property <br />Action Requested <br />MWAMNA ] <br />Signature col Applicant <br />RECORD OF ACTION TAKEN <br />Date <br />Inspection nept:: <br />Administrator: D 3 L <br />r <br />Villacr Council: <br />Village Engineer: <br />Village Attorney: <br />Planning Commission: <br />Village Council: 1 �_ <br />Permit Issued: Date <br />Action <br />