HomeMy WebLinkAbout1969-02-27 CUP Application�.aac 111W. d -4-0
VILLAGE OF ORONO
Crystal Bay, 14innesota
(Complete in Duplicate)
This form to be used in all applications for conditional use permits
and for rezoning, dividing or consolidating p, cels of land, vacating
streets, alleys and variances.
Type of Application \\\ �J�,�_ _ _ Date -z-'- 6�
Owner of Property: Name Phone No. ' l
Address__
Applicant (other than owner): Name Phone No.
Address
Relationship to Owner
Engineer: Name i, _ Phone No.
Land Planner: Name _Phone No.
Subdivider: Name _ _ Phone No.
Location (How do we find it?) '*- Z—
Legal Description:
Date Acquired k�j •z_�J6_Area (sq. ft.) Separate Ownership
Single Ownership_
Date of last division of this property _,_
Do you own any adjoining prcpe--ty?
Action Requested_
Signature of Applicant
RECORD OF ACTION TAKEN
c Date
Inspection Dept:
Administrator:
Village Council:
Village Engineer:
Village Attorney:
Planning Commission: �✓') ; 3_, -7_T_
Village Council: 3_.sy_ G
Permit Issued: Date
Condition of Non -Conforming Use:
Action
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