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�� &e�� <br />� p1;i�,:��:,r.,:, <br />.l. ..�:�e:� <br />_ � <br />p°A ' � us�j <br />:, �S <br />r��PBf ° Q'dFt9ie�� <br />� .�. � ` .": °! ` ._ � ""'',j °,_ ,_ � , r-. ' ' # <br />I)E�I,OP N�' �Pi,ICA�ION <br />2401 H%g�way I0, �lourids ��vc� I!/iN 55112 <br />612�784�3055 <br />6I2-784-3462 m F�% <br />Please Type or Priret Iafo�ation - Co€,�piete Botl� S[des of'Iiois �'o� <br />�.pplicant I�foa°�a�t�on �� <br />Name of Applicant Te�eghou� 7 g y�j �-/ <br />Address � F� <br />Interes� ia �roperty (check appropciate box) <br />� Owuer of Property <br />� Contract for Deed Owner <br />� Lessee, �perator, Manager <br />Q Agreernene to Purchase <br />❑ Other (e�cplain) <br />r4ppdacarots must provide evidence o� inte�sf i� peope�ty a# tfxe ti�� of a�pt�c�tion, �d if you are r�oi the owner of th� <br />P�Peg'�'9 You �ast p�vide a Ietter of pea�issioa� from ilae owner giving conse�t to �i�e �"u�� of ttais appl�ca�oa. T�e <br />�ro�eeiy o��e a�us� sig�a this applic�tio� for rt to be acceptede <br />�r�opercy Descriptao�roposal <br />Address or Cr�nerai Location � � � 9 ��,J � ,�,� , <br />Legai Description <br />�—L �-�e C3C� <br />Properiy Ideigiification # {PIN #� _ � _ 5 :�O o1.� �3 O Cj ,�-- � <br />#ofAcres /�� �d o 5 F r �Gp�g � <br />Carrent Zoaing ,�.-- <br />Present Use� <br />� Undeveioped/Vacant <br />� Sinele Famiiy Dwe�Ling <br />a Duple:uTwo Pamily Dwelling <br />a Mulei-family Dweilings <br />Q Business/Commercial EsYabfishmeat <br />� ItidustriaE Establishment <br />o Other {e;cplain} <br />Type of Application <br />❑ Comprehensive Plan Amendment $20Q <br />� Rezoning $200/ac; min �2p0 ma.Y S 1000 <br />� Major Subdiviszon $250 + $�50 deposit# <br />❑ Minor Subdivision � 150 <br />� Planue� Unit DeveIopment (PUD) �350 <br />� �UD Amendment �150 <br />❑ CoQditional Use Permit R-1, R-2 $75; a.il others $200 <br />� Variance (R-1� R-2 t�; aIl others $200 <br />Q Code Appea! $75 - <br />❑ Develog Review/Site Plan $100/ac; min �100 max $50� <br />a Wedaud Alteration Permit $50 + deposit# <br />� Wetland Bu$er Permit ? <br />� Floodgiain Pexmit $200 <br />❑ Qt6er <br />�see Municirpal Code for e�glanation af deposits <br />1'ieas� co�plete i�� r�veas� side of tt� �pplica�o�„ <br />