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CITY OF LINO LAKES <br />LAND USE APPLICATION <br />***********************************************•*********•*** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** <br />Check appropriate box: Fee Note: <br />(crCe ioik 4 _ <br />( ) Conditional Use Permit <br />( ) Planned Development Overlay <br />( ) Rezoning <br />( ) Site Plan Review <br />( ) Variance <br />( ) Subdivision <br />( ) Preliminary Plat <br />( ) Final Plat <br />( ,) Lot Consolidation/Division <br />( ) <br />Other i ti tke-k0 ' 7- � �o <br />Nt� <br />Time spent by the <br />City's Consulting Planner, <br />Attorney, and Engineer <br />for reviewing applications, <br />materials and preparing <br />reports will be billed <br />to the applicant. <br />**************************************.********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** <br />Address of Property: aCch <br />Legal Description of Property: <br />Lot Block <br />.r4 cr' <br />Addition <br />If metes and bounds description is used attached description to application form. <br />PIN# (Property Identification Number) : /3 / — Z Z - 3! —000/ <br />Existing Land Use: <br />Description of Request: 4/2.-DS-/: e; c/c _64 -A '1 cl,'C/ I /Le.....rr -/tu' <br />{.f `, <br />TO,.c2. . S-l.. • el / 6 .- ,r1S TC/" -,s, ,ttG, <br />�!/.,, i,,?J'S 4/ Oo-7 /4; I., c • <br />Address: 3Z 2.S-- 5 /0/...� s-/. A. <br />City: n,.,.v apaA <br />Phone: (4-J >_, P"A" 7- /ic <br />Existing Zoning <br />7/-.e71 <br />-u <br />Applicant: <br />State: /t4/0 Zip: SSV /P <br />Owner(if different than applicant): �l[Aat, -% f�vif'4,-i.•: L (.L' <br />Address: /d• ga;t 32q (�D 'S- ZD�`Z AL? C. <br />City: ee.,4e- voi4 State: /e7,N Zip: S$ -038' <br />Phone: 6C/2) <br />In signing this application, I hereby acknowledge that I have read and fully•understand the <br />applicable provisions of the Zoning and Subdivision Ordinance ans current administrative <br />procedures. I further acknowledge the fee explanation and hereby agree to pay all statements <br />received pertaining to additional application expense. <br />Signature of Applicant <br />Date: r <br />*********************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *x <br />PUBLIC NOTICE DEADLINE: <br />Park Board Meeting: <br />Planning /Zoning Meeting: <br />City Council Meeting: <br />Other Important Dates to Remember: <br />NOTE: Permits may be necessary from the Watershed District, DNR, and /or Corp. of Engineers <br />YOUR REQUEST WILL NOT BE SCHEDULED FOR PUBLIC HEARING OR CONSIDERI Trik' gBcic <br />BODIES UNTIL ALL REQUIRED INFORMATION HAS BEEN REVIEWED AND FOUND TO �E4, <br />STAFF. <br />tR 1 7 19 98 <br />'V OF LNO LAKE; <br />Ca" <br />Y <br />Y <br />