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• <br />"1, <br />'4 44 - Past�ec+�' @� <br />Applicant Information <br />Name of Applicant <br />Address <br />CITY OF IV g1004 <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />DEVELOPMENT APFLICATICI <br />2401 Iitghway 10, 1r1'ounds View MN 55 <br />612 - 717 -4020 <br />612 -784 -3462 e FAX <br />Please Typs or Print Information - Coffiplete Both Sidra of This' <br />asin Co. ii c Telephone 612- 890 -1500 <br />-84_ is Cnra 7 yea St. R_E . Suite 100 Fax 612-890-0420 <br />ai e MN 55449 <br />Interest in Property (cheek appropriate box) <br />Owner of Property o Contract for Deed Own,cr <br />Lessee, Operator, Manager a Amt to Phase <br />a O (plain) <br />Applicants menst provfde evidence of interest hr property at the time of app w and ityou are not the owner of the <br />property, you mast provide a letter of permission Crone the owner giving consent to the filing of this application. The <br />property owner must sign thin application for it to be accepted. <br />Property Decline al <br />Address or Cieneral Location <br />Legal S a S N Blaine MN 55449 <br />tk Lot- 2,, Block 1 North Star Industrial Park 2nd Adr?' 'r <br />Pro '{PIN 10 flsqf17121 f)flfli (Roane 2c <br /># of Acres <br />Current Zoning <br />2.59 Acres <br />--C Pra? a1 /Icdustrial <br />Type of-Applicant/5' ix <br />Comprehensive Plan Ater <br />G Rezoning <br />Q Major Subdivision <br />C Subdivision <br />• Plaraied Unit Development (PUD) <br />a PLID Amendment <br />Q Conditional Use Permit <br />Variance <br />a <br />Code meal <br />• Develop Review/Site Ply <br />• Wetland Alteration Permit <br />• Wetland Buffer Permit <br />• Floodplain Permit <br />O Ober <br />5250 <br />$ /ai min 525'0 max 51500 <br />5750 ±5250 deposit* <br />5200 <br />Refs to =tang % <br />5'350 <br />R -I, R-1 575; ail others 5254 <br />R -I, R -2$100 all others 3 50 (Paid $250) <br />5100 <br />SI ZSInem tale. 5125 max 5750 <br />RA. R -2 5150: all athas 5200 <br />R-1, R -2 525; ail others 5100 <br />5200 <br />"Deposits shalt he paid to cover all costs of public notices. materials and staff or consultant time spent in the review, <br />resemrott or preparation of materials associated with this application. The applimt shall be responsible for all reasonable <br />incurred costs in excess of the initial deposit amount. Arty, porn antic deposit not spent or encumbered shall be refunded <br />to the applicant within thirty (30) days after consideration etc application is completed <br />Please complete the reverse side of this appi".csboteL <br />