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<br /> ���y, �"�3� VILLAGE OF OROI30 TNIS ITE� N�S �EEN
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<br /> po� ivon•Co�•:�oT�irta Usss Crystal Bny, P1innesota �g���������
<br /> .� (Complete in Duplicate)
<br /> This form to be used in �11 �pplications for coaditiona2 use per�i�s ,
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<br /> and for r�zoning, divid�ng or consolidating parcels of land, vacating
<br /> A , str+��ts , alleys and variances. :
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<br /> ��_,# '`� 1�p� of Application Non_Gonfor�nin_��stDsi;....r._-.
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<br /> ���� OwneT of Praper ty:
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<br /> �; Addr e s s_1g�g��
<br /> T`�� Phon� No.
<br /> � ;"� Appl i.cant (other �han owner) : Na�me ___ ___
<br /> ��'�` �&��[ Address
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<br /> � Relationshi.p to O�mer -
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<br /> Engineer: N�ame
<br /> 4 La�:� Pl�nner: �ame Phone No.
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<br /> .�'`���'" Phone No . .
<br /> h� Suh3ivicier: Naa�e _ _ _ ,:_,__.._ -
<br /> ' "' Location (How do we find it?) '
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<br /> •�`��`� Le�;�l Descxiption:� *�+� 3'� �q� ����-4133
<br /> �=�' � Area (sq. ft.) Separate Ownership
<br /> �,,;�;;: � Dat� acquired _,_. --��'`Single Ownershi;�r_____r
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<br /> *�'��� Da�t� of last cii•����.on oi this property` ___
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