HomeMy WebLinkAbout09-13-1968 Application for Conditional Use PermitVillage of Orono '
C Fee
11101K USE PEai
�`. Case No. f
Date_.. y _ t_b•
VILLAGE OF ORONO
For tioa•Cooforsia= US* Crystal Bay, "linnesota
(Complete in Duplicate)
This form to be used in all applications for conditional use permits
and for rezoning, dividing or consolidating parcels of land, vacating
streets, alleys and variances.
Type of Apt. ation Non-Cot,`ormi-,w Cwnoitional us1pate
Owner of Pros,arty: Name b•,_it: _ 10 rr +_Phone No. 471-92A11 _
Lr•n:nrd ltuckley Address 344'i Grystrtl PlaCa __
Applicant (other than owner): Name Phone No _
Address
Relationship to Owner '
Engineer: Name_ _ Phone No.
Land Planner: Name _ _Phone No.
Subdivider: Name _ _ _ Phone No.
Location (How do we find it?)
Legal Description: Lot ., MI. A. Plat 4274U_X"em1 1ML
Date Acquired Area (sq. ft.)7,000 Separate Ownershir _
-- Single Owucrship_�
Date of last division of this property
Do you own any adjoining prcperty?
Action Requested pop;Copf�� _Vaal for op►alsysrrpys
Signature of Applicant
RECORD OF ACTION TAKEN
Date +� Action
Inspection Dept: �'� y-_J E� ' A
Administrator:
Village Council:
Village Engineer: -
Village Attorney:
Planning Commission: H R
Village Council:
Permit Issued: Date SEP 1 3 IM
Condition of Non -Conforming Use:
ry , i,.Irry dove. Living
lc,:..l _c:r.;-•7,600 square fact, 11�`