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EXISTING LAND USE <br />Number of Tax Farcc _ <br />Development-. Size <br />elf <br />aT <br />Present Use (check)___ <br />Present ?.oninq Dist. �, iZ. ` f A <br />Acres Dry Land <br />Acres Wet Land <br />Acres Total, all parcels <br />Residential; no. of units 3 <br />Other (specify) <br />PROPOSA!, lot line rearrangement only (no new building sites) <br />subdivision for new building :sites <br />number of building sites: _3 existing units <br />NOAIA new units <br />total unitsC <br />proposed cir-iss density �_ units per Q f acres <br />minimum lot size:: square feet dry Luil.dable land <br />proposed usc': (check) ✓ residential <br />other (specify) <br />MINIMUM MATERIAL, NECESSARY FOR COMPLETE APPLICATION <br />(Must be submitted 10 days prior to Planninq Commission meeting) <br />i. Application cumpleted 5. Applivati►tt tev her curry+t fee schedule: <br />2. Preliminary Plat information on sketch plan only $50.00 <br />a ccrtifirate of survey <br />3. Certified Property Owner's list of 2 lot prelim. plat 150.00 <br />owners within 350' - from Hennepin i+ lot I'lolim. plat 200.00 <br />Co. Dept. of Finance A-h03 Govern- `—' (Kketeh plan includedN + $10/10t <br />ment Center Additional improvement <br />4. Stamped, legal sized vnvulupes (010) review fees per fee <br />pre -addressed to each of flit 11.1m— 'ill <br />the above 1 1st . --�- —`- <br />DATC At"' .ICr1.1Z S . ,,,1. "'[ t. <br />DATE. _ T ' i_ _- - f)WNFR"S SIGNATURE: _ .�! c. , � ►� � �'� L �. t <br />Applicant hereby agrees to ;►rovide all infu►mation required or requested by <br />the Zuniny Administrator, City Engincur, City Attorney, Planninq Commission <br />acid Council necessary to process this application and further agrees to pay <br />all admit iona1 fees est.abI ished by ordinance. <br />