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VILLAGE OF OR0110 <br />Land Ilse Application <br />Street Location of Property:r�--rA57 <br />Date -7 5 <br />Legal Description of Property: — / <br />7 __1 _f — <br />Owner : / ► /�1 �` �/- /. <br />VIV ame — cress <br />ione`) <br />Tyne of Request: Rezoninc7 Conditional Ilse Permit <br />X Variance Other �> <br />X LOT <br />Description of Request: <br />pp i ant Owner <br />Please draw or attach a sketch of ;proposed structure shoring the following: <br />1. Iodi.cate North G. Dimensions of proposed structure <br />2. Location on Lot 7. Proposed setbacks <br />3. Adjacent Street Names S. Zoning in force in this area <br />4. Location setback and use of adjacent existing building <br />S. Distances between any proposed struti"ores and structures on adjacent <br />property <br />Exhibit Submitted: <br />;tap or plat showing the property affected and all lands within 300' of tine <br />boundaries or the property affected by proposed change. (5 copies) <br />Abstractors or attorneys certification listing the names and address of the <br />owners of the land within 300' of the boundaries of the property requesting <br />the change or rezoning as those names appear on tine records of the County <br />Auditor of Hennepin County. <br />Petition siiowinl; 50% of nroperty owners within 3001 favoring rezoning or <br />variance. <br />oiLowing to De tiiieal.il _y - i-- age <br />nronology _-- - --_y Date _. _ By.. <br />ns ection Dept. <br />dminis trator <br />ouncil <br />ngineer -- ---- - ------ - <br />Tannin & Comm. <br />ouncil <br />licant notified <br />Recor;nmendations: <br />