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• CITY OF LINO LAKES <br />* * * * * * * * * * * * * * * * * * * * * * * * * * * ** <br />Check appropriate box: <br />( ) Conditional Use Permit <br />( ) <br />LAND USE APPLICATION <br />***************************-*** * * * * ** * * * * * * * * * * * * * * * * * * * * * * * ** <br />Fee Note: <br />6.vc}10 n�9 <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 />Other _IA� 11,4n � <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: <br />Legal Description of Property: <br />Lot Block Addition <br />If metes and bounds description is used attached description <br />to application form. <br />PIN# (Property Identification Number) : /2- /- /3- odo2 <br />Existing Land Use: va (? '•r. / Existing Zoning <br />n <br />Description of Request: <br />/ n <br />J4 GT I. <br />¶ }.1.i Ull. ��r.LS -C <br />Applicant: �/,,. t�?�S G./ (tea G<GCY/ �� c . <br />Address: gZ2.S— <br />City: /9,.,�„,. ..Pc/k <br />Phone: (<.i a? q- /9' 00 <br />State: <br />A/1N <br />Zip: TS VIP <br />Owner (if different than ap licapt) : ehI 4 h jr( <br />Address: J ?l S d e+-eS71 Ate, <br />City: /4.. 6 <br />Phone: (6°J Z vZ `1- /yam <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 />i <br />Mesei <br />State: /1 AJ Zip: S Sa 38 <br />Signature of Applicant <br />Date: / <br />*********************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** <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 <br />BODIES UNTIL ALL REQUIRED INFORMATION HAS BEEN <br />STAFF. <br />HEARING OR CONSIDERA'I'TO {H ! <br />REVIEWED AND FOUND ¶O i, $ ;� <br />19C <br />CrrY O LINO LAKES <br />Y <br />Y <br />