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�'il�a4e o� �rano - . � � <br /> Fee �r.�L�� <br /> rr, ; �11 i1�IViL �� 1'G�w/'D Csse No._!� <br /> �d.,.SL� <br /> .Y`�`"- VILLAGE OF ORONO <br /> ,,�,��,�� <br /> ate . . Crystal Bay, Hinr►e�ota <br /> �'' F��x` ��! �s�Cosl�t�ea ns� (Conrplete in Dupiicate) <br /> � �..;. <br /> '��.� This form t� be used in ail appiications for conditionai use per�its <br /> �, and for rezoning, d�viding or consolidating parceis of isad, vscsting <br /> ',�. <br /> streets, ulleys and variances. <br /> i ...---...._..._ <br /> ,z j{ '1'ype of Application t�w-�_�__ <br /> ��r �� Owner of Property: Name�� Phoae No. �73•t�K <br /> u <br /> � r.� Addrr�s d�S r�ra ad �aut�, <br /> .« <br /> - <br /> � Applicant (other than owner) : Name�� phone No. <br /> �� Address <br /> ;� ,� Relationshi�i to Owner <br /> ' �`� Engineer: Ns�ne phone No, <br /> ; <br /> «{�''� Land Pianner: Name p�ne �. <br /> �'��.f Subdivider: Nswe Phone No. <br /> _�_ <br /> ��'� ' Location (HoN do we f�nd it?) <br /> �.� <br /> }. '� <br /> r�� - - - _ _ <br /> ;'� Legal Descrfption:E�t 3, �1. 1�7. �lae ��5�3_ hta�� �a� <br /> � Date Acqulred 1��5 Are� (sq. ft.)���Separate Ownersbip__ . <br /> ,� Sin�ae Ovnership�_ <br /> ;,,� Date of last division of this property <br /> ;'�. <br /> Do rou o�m sny adfoir►in� praperty? <br /> ��� ,. .Act�oa Requested�ot�nl�LUs� t�� �r �- <br /> r.` <br /> q. <br /> {.. <br /> 1 �� Signature of Appiicsnt <br /> ;�.: <br /> ��� . RECOItD OF ACTION TAXSN ` <br /> :r,�. • <br /> ��� �' ,( Date Action <br /> �`�` ins tion t: ��'1 �� - � : .. <br /> a <br /> P� � o�G 4i.rrl��� �C+ ���.,,.��7� <br /> W:��� s Ad�inistrstor: l' - � , .._ � F <br /> :,_ 1� 1- ��.f�� <br /> � �s Yiilise Council: l �_ !� <br /> qt: �y Vilia� En�ia�er: C�� <br /> �s;�, Viilaje Attornh►: �� ' <br /> 4 ri,u��na co..ss:ion#�. R. R��,.,�y�eyMX . <br /> �x Yiilag� Council: <br /> ,YF <br /> � Prrwit issa�d: O�at� �1 ' � <br /> ,':;�.. ; <br /> �h <br /> ;� Condition oi lron-Conios�in` Us�s <br /> ;� , TN �srM. NMa� a� p�r! 1� a�t tw �sr�. M��st t� � <br /> sr <br /> ;�. �s�awl.� .N�.�r. `,/� . <br /> .�� <br /> ,; `� <br /> ��:< �; <br /> r�;�' ra <br /> �. � <br />