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Fee 6, o <br />Case No. <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />(Complete in Duplicate) <br />This form to be used in all applications for special use permits and <br />for rezoning, dividing or consolidating parcels of land, vacating <br />streets, alleys and variances. <br />Type of Application <br />Owner of Property: <br />4P ft _ M OR an ft <br />- <br />Date :v <br />Name-- r e.! v,0: Y Phone No . `?'7l — 91 $ ao <br />soft <br />Address RT, /, 2o�c �Z, 4ijo uwID <br />App 1 i c an t (other than owner) : Name <br />Phone No. <br />Address <br />Relationship to Owner <br />i <br />Haeme=� ► �: , �� �+ c_ r l� Phone No , 8,Z -1Y -t0,3 70 <br />Name li , �� ;',f,• -� j Phone No. V1/3 <br />Subdivider: !Vane Phone No. <br />Location (How do we find it?) <br />_ r r T <br />Legal Description: R (7 ArA;- f-.- &Lo,c <br />Date Acquired � ` �' � Area (sq.ft.) � �� � ,5 4--n 8 e e rs �- <br />—Separate OwnersKip <br />Date of last division of this property it 4 y o .ji p {� L;;�► <br />Do you own any adjoining property, <br />Action Requested <br />,0ignature of plicant <br />Inspection Dept:: <br />Administrator: <br />Village Council: <br />Village Engineer: <br />Village Attorney: <br />RECORD OF ACTION TAKEN <br />Date <br />.Z -.-J /.- -r <br />L <br />/_Jy_�1' <br />Action <br />/LAb&A- <br />Planning Commission: <br />Village Council: a <br />Permit Issued: Date <br />