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~~ <br />City of Falcon Heights <br />Planning Application <br />Action Requested By: <br />Name of Property Owner __ (~(~~~- 5~~~1 p (~ <br />Phone (h} _,~ ~/- ill ~ pG~ ~ .(~_~G ~ -f - Z~1/, <br />Address of Property Owner I~q-2 ~"A~,r~u__Srt„ ~(~~ ~;,,~~~, M~1 <br />.aPR ~ fi 2Q~~ <br />Name of Applicant (if different) <br />Address <br />Phone <br />Property Involved: <br />Address ~~ 2 ? ~ Z ~i , „~ ~ Fc~ { ~ o N ~ 1 ~ ~,~. <br />Legal Description L o ~-__~' , _~ to c k I , l..ta ha t< c atrr, ~r~ <br />Sl ~ 3 <br />a~ot .z~u.l~ ccb~cfhrt~ t-~F ~'~ ~~c(~ !~ GctbaltS ~Z~'jc <br />Property Identification Number (PIN} ~ ~ 2 9 z 33 ~l o o y ~ ~ ~/~~,~ ~J <br />--- <br />Present Use of Property (check one}; <br />^ Single Family Dwelling <br />Duplex/Two Family Dwelling <br />^ Multi Family Complex <br />Action Requested (NON-REFUNQA8LE}: <br />^ Variance ($100.00) <br />^ Conditional Use Permit ($165.00) <br />^ Rezoning ($500.00} <br />O BusinesslCommercial <br />^ GovernmenUlnstitutional <br />Ia1 Vacant Land <br />O ~+ <br />ry <br />O Lat Split ($250.00) <br />^ Site Plan Review ($100.00) +~ <br />~9 Other (Please Specify} ~ l oo. op `~`~ <br />cafe <br />Brief Summary of Request (applicant may submit letter to Planning Commission with <br />details of request): <br />~~, ~ ~1'I~ P~p~'~ Ou11~i~fi~i ~ LUDU~ Ik ~ r~ V~ 7>f~ <br />I~A~~ WAS A~.I p A~bb ~~ nur~. ~p~i ~ . <br />1 certify that afl statements on this application are true and correct: <br />Signat a of Property ner (required) <br />Signature of Applicant (if applicable) <br />S:~BUILDING PERMITS ~ ISSUEStZoning and Building FormsIPLANNING APPIIGATION.doo 3/29/2005 <br />