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Case <br />f ,.r r, � <br />Fee .� <br />VILLAGE OF ORONO Date Ir <br />Land Use Application <br />C <br />4 <br />L-%vret.„t Location of Property:-- r �� - �r , •c Q <br />C. <br />'.c,;al rescri tion of Pro ert : 2 -man <br />(Name) <br />ress <br />(Phonel— <br />type of Request: Rezoning Conditional Use Permit <br />Variance Other <br />POO, Subdivision Approval <br />jtY r, c r i p t i on of Request:- <br />• � L <br />pp scan t <br />wne r <br />Please draw or attach a sketch of proposed structure showing the following: <br />1. Indicate <br />Location <br />t:�:l-' acent <br />-r. :jocation <br />V ” Distances <br />property <br />North <br />on Lot <br />Street Names <br />setback and <br />between any <br />6. Dimensions of proposed <br />7. Proposed setbacks <br />8. Zoning in force in this <br />use of adjacent existing building <br />proposed structures and structures on <br />Exhibit Submitted: <br />�.: c plat showing the property affected and all lands <br />laries or the property affected by proposed change. <br />-•actors certificate <br />ti.: lv i th in 150' of the <br />as those names <br />t is nnep in County. <br />fetition <br />.r" dance . <br />structure <br />area <br />adjacent <br />within 1501 of the <br />(S copies) <br />listing the names and address of the owners of the <br />boundaries of the property requesting the change or <br />appear on the records of the County Auditor of <br />showing 501 of property owners within 150' favoring rezoning or <br />�� . E Ow I n o e 1 e In 1 a e ° <br />r�_._o17 :o ogY Date_ By _ <br />:.ns,)cction Dept. <br />i n i s t ra for <br />r <br />in i n Comm. <br />.y .ncil <br />iApnilicrint Notified <br />r` <br />f .Y <br />