08/26/2020 EB Packet - Laserfiche WebLink

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Land Use Application Revised 11/26/2019 2 Land Use Request:_________________________________________________________________________ Property Address: _________________________________________________________________________ PIN # _ _ - _ _ - _ _ - _ _ - _ _ _ _ Legal Description: Lot ___ Block ___ Subdivision_________________ Land Use: existing __________ proposed ___________ Zoning: existing ___________ proposed __________ Required Fees*: Application Fee $200 + Escrow Deposit $ ____________ = Total Due $ _________ * Required Escrow Deposit can be found on the City of Lino Lakes Fee Schedule and are listed on the back side of this form Applicant: Name: Phone: Address: Cell: City: State: Zip: Fax: E-mail: Owner (if different than applicant): Name: Phone: Address: Cell: City: State: Zip: Fax: E-mail: MN Statute 15.99 allows a 60-day review period for final action on an application, once that application is found to be complete, unless the City extends the review period and so notifies the applicant. Your request will not be scheduled for public hearing or City review by City advisory bodies until all required information has been reviewed and found to be adequate by City staff. All City costs incurred for review of this application are the responsibility of the applicant. Please note: In signing this application, I hereby acknowledge that I have read and fully understand the applicable provisions of the City Ordinances and current administrative procedures. I further acknowledge the fee explanation and hereby agree to pay all statements received pertaining to additional application expense and City review. Signature_______________________________________ Date______________ applicant Signature_______________________________________ Date______________ owner City Staff Use Only NOTE: Permits may also be required from the Watershed District, Anoka County, DNR, Corp of Engineers, and/or Others