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UNik'uRM LAND USE CONFIRMATION FORM <br /> (Information to be supplied by person requesting informations] <br /> (submit 2 copies of this form) ' <br /> A. Subject Property 770 North Old Crystal Bay Road <br /> (Address) <br /> B. W 642' of Lot 2. Block 1, Crystal Crest <br /> (Brief Legal - Complete Legal Attache•) ' <br /> - -• C. Property Tax ID (28-118-23-43-0005) <br /> D. Sarah Notated' Nae re• & Benson <br /> a2200and Adrose o Person Canter 90 South 7thRStreet <br /> Information <br /> Center, t <br /> Address <br /> Minneapolis mm 5402 <br /> City State sip Code ' <br /> E. ( to .) .�3(i '4 � - Telephone <br /> F. Response Requested by October 26. 1992 <br /> Aopryis Working Days) <br /> _ G. The use of the Subject Prpetyidescribedas (please <br /> e be <br /> specific and describe the project located or to be located <br /> on the Subject Property) : church <br /> • <br /> • [Information to be Supplied by Municipality*] <br /> • 1. The Subject'Property is designated in the Comprehensive Plan. <br /> as: s/AJ .-Le Farlft-y £,t sj J riA-L .�.._._ • <br /> • <br /> • <br /> 2. The current zoning classification for the Subject Property is: <br /> 1212-lB sii06 w F54.0,1 g(40.41._ KtD WTi*.. <br /> 3. There are ?c /are no applications filed for the Property <br /> (e.g., zoning_, eubdivTion, special use permit, conditional use <br /> permit, variance site plc approval, etc.) (For a brief <br /> description of filed applications, see Comments.) <br /> 4. The use of the Property as described in paragraph a, above, is: <br /> Yes No <br /> • a. Permitted _ <br /> b. Conditional (sea Comments or <br /> attached documentation) <br /> c. Nonconforming (see Comments) 2 <br /> (This section will not be completed <br /> if detailed information not supplied <br /> in paragraph 0, above.)- <br /> • <br /> 5.• There are records in the City files ' <br /> of unsatisfied zoning violation(s) . <br /> If "Yes" is checked, see Comments.) .2 <br /> • <br /> 6. Variances have bean granted for the !. <br /> Property (documentation attached) x • <br /> 7. Flood Insurance Rate Map (FIRM) * <br /> Property Appears to be in zone(s) Zc7w c C <br /> Community Panel NO. 3:70/78 , Dated: /0- 17-7e <br /> • 8. Comments: CLAP For_ C(ktra e t4 uSeC-12eso ,#X397 (' sus <br /> - P Fol D I CAi t s - 12eso� *2301 pi-L.-b. <br /> 9. This norma on was tessera ed by the undersigned, on request, as <br /> a public service. The undersigned certifies that the above <br /> information in paragraphs 1-8 is believed to be accurate based on - <br /> or relating to the information supplied in paragraphs A, B, C and <br /> at however, neither the undersigned nor the City assumes liability <br /> for errors and omissions. All information was obtained from <br /> public records which may be inspected during regular business <br /> hours. t� <br /> goL/. /-- ' <br /> • S gnature Title Date <br />