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WAIVER APPLICATION <br />Fees <br />$100 Waiver Application <br />$50 County Recording Fee <br />Type of Waiver Request <br />❑ Fence <br />❑ Retaining Wall <br />❑ Driveway <br />❑ Parking Pad <br />CITY OF LAUDERDALE <br />LAUDERDALE CITY HALL <br />1 89 1 WALNUT STREET <br />LAUDERDALE, MN 55113 <br />651-792-7650 <br />651-631-2066 FAX <br />Date: <br />Property Owner Information <br />�FTifll <br />Address: <br />City/State/Zip: <br />Phone: <br />Email: <br />Signature: <br />Review Timeline: All applications must be complete before being formally reviewed. <br />Conditions: If a waiver is granted, the City Council may impose conditions. <br />Submittals: <br />Site plan drawn to scale that shows: <br />✓ Property corners (locate property stakes or submit a Certificate of Survey). <br />✓ Pertinent site information such as lot lines, street names, locations and <br />dimensions of existing or proposed buildings, setback distances, parking <br />areas, and percentage of lot covered by roofed structures. <br />Please provide a narrative describing your request: <br />For Office Use Only Date of Complete Application: PIN#: Receipt #: <br />Meeting/Public Hearing Date: '' Approved/Denied: Conditions: <br />