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Zoning Text Amendment Application <br />Applicant: _____________________________________________________________________________________________ <br />Address: ______________________________________________________________________________________________ <br />Phone # _______________________________________ <br />Email Address:___________________________________ <br />Fee Owner: ___________________________________________________________________________________________ <br />Address: ______________________________________________________________________________________________ <br />Phone # _______________________________________ <br />Email Address:___________________________________ <br />Engineer: ___________________________________________________________________________________________ <br />Address: ______________________________________________________________________________________________ <br />Phone # _______________________________________ <br />Email Address:___________________________________ <br />Property Location (Address): ______________________________________________________________________________ <br />Complete Legal Description: ________________________________________________________________________ <br />_____________________________________________________________________________________________________ <br />PID#: ________________________________________________________________________________________________ <br />Detailed Reason for Request: _____________________________________________________________________________ <br />_____________________________________________________________________________________________________ <br />_____________________________________________________________________________________________________ <br />_____________________________________________________________________________________________________ <br />_____________________________________________________________________________________________________ <br />In signing this application, I hereby acknowledge that I have read and fully understand the applicable provisions of the Zoning <br />ordinance and current administrative procedures. I further acknowledge the fee explanation as outlined in the application <br />procedures and hereby agree to pay all statements received from the City pertaining to additional application expense. <br />Signature of applicant:_______________________________________Date:_________________________________________ <br />Signature of fee owner:______________________________________Date:_________________________________________ <br />Zoning Text Amendment Application <br />1 <br />651-747-3900 <br />3800 Laverne Avenue North <br />Lake Elmo, MN 55042 <br />Date Received: ___________________ <br />Received By: ____________________ <br />Permit #: ________________________