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oweia <br />PLEASE FILL OUT BOTH SIDES OF FORM <br />• <br />QTY OF LINO LAKES - LAND USE APPLICATION <br />` •- <br />CHECK APPROPRU IE BOX: . µ . <br />Comprehensive Plan Amendment <br />._.�.. Conditional Use Permit <br />__ <br />Interim Use Permit <br />Site Plan Review <br />4, Subdivision: <br />Preliminary Plat • • <br />Preservation Development ,250 <br />Planned Development Overlay 1,250 <br />a sad <br />$-350 <br />$ 350 <br />$ soo <br />Minor Subdivision/ $ 250 <br />• <br />Lot Split <br />Rezoning cj 350 <br />Vacation: drainage, street, utility $ 250' <br />Variance $ 250 <br />ESCROwDEPOSIT: " <br />a <br />Property Address tiI + `+G-nl c REARcMv }� <br />Legal Description: Lot `5 Block 1 Addition <br />Existing Land Use t..)a-voR Existing Zoning 'i U Ft..fl-L_ <br />• .DESCRIPTION OF REQUEST: • /N6.- L:t t i (PCP, Taff- Ra <br />' L A4 i--h •tEArr �''� t) G' ': U C cola <br />Applicant <br />• name • <br />• address <br />phone <br />fax <br />e-mail <br />• <br />• <br />Owner (if different than applicant): <br />ale //0 /boll o r\. l C� f address • <-1c— l.• d : < �/� <br />lir, /1� t, )'19111 6-S-Oy5 • ){-- �` t^ 0.1 ( key, �Y 1 tl, <br />E< - „zo - 99 0 ` • phone (. , - .. .%' -'F-16c1 <br />"76•3- 7S"y 73 /3 • fax <br />Fe /sue CBs) <.vat. Apra' <br />Revised 1/23/02 Page 1 of 2 <br />