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�.aac 111W. ­d -4-0 <br />VILLAGE OF ORONO <br />Crystal Bay, 14innesota <br />(Complete in Duplicate) <br />This form to be used in all applications for conditional use permits <br />and for rezoning, dividing or consolidating p, cels of land, vacating <br />streets, alleys and variances. <br />Type of Application \\\ �J�,�_ _ _ Date -z-'- 6� <br />Owner of Property: Name Phone No. ' l <br />Address__ <br />Applicant (other than owner): Name Phone No. <br />Address <br />Relationship to Owner <br />Engineer: Name i, _ Phone No. <br />Land Planner: Name _Phone No. <br />Subdivider: Name _ _ Phone No. <br />Location (How do we find it?) '*- Z— <br />Legal Description: <br />Date Acquired k�j •z_�J6_Area (sq. ft.) Separate Ownership <br />Single Ownership_ <br />Date of last division of this property _,_ <br />Do you own any adjoining prcpe--ty? <br />Action Requested_ <br />Signature of Applicant <br />RECORD OF ACTION TAKEN <br />c Date <br />Inspection Dept: <br />Administrator: <br />Village Council: <br />Village Engineer: <br />Village Attorney: <br />Planning Commission: �✓') ; 3_, -7_T_ <br />Village Council: 3_.sy_ G <br />Permit Issued: Date <br />Condition of Non -Conforming Use: <br />Action <br />CC <br />