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, �.- - . <br />N%�'�`� �f° <br />�, ,;,�� .., <br />i.i ��;.:,; r,;;._: <br />-� <br />a' i:t7arn^ <br />P °� :if.� :i'S.�I <br />f <br />4 <br />���4 ° Parenevtti`�Q <br />Apptic�e�t Infoe°��tioa <br />Name of AppIicant <br />Address <br />i0 1)E�IIJOP�VI�T�T`T` 7)EP�t�T�T <br />I�E�I.OP�N'T A��T���E1�'ION <br />2401 Highway I0, IVlaunds Vjew IviI�I 55112 <br />612�717-4020 <br />612-7$4-3452 - �'AX <br />I'lea�se °Ty�e ot° Priot Infor�a�tioee - Coax�pl�te �oi6 Sides of �i� �o� <br />�� l� ` t, t �1 W <br />> � JZ- .��. �,,, c� <br />D ��,�'�� � U i�.G.� <br />'��'�-�(� <br />�U�..� <br />l��l <br />Telephonel'� � Z � 6�`��!� <br />Fax <br />l � �1�� � <br />�TnBerest i� Prope� (check appropriate box) <br />Owner of Property- ❑ Coniruct for T3eed Owner <br />� Lessee, Operator, Mtinager � Agi°eement to Purchase <br />❑ Oth�r (e�cplIIin) <br />;� <br />t�pplica�ts t�ust pa°ovide e�idec�ce af io#eres� �n property at t$te te�e of appl�catEO�, aoa! �you �re not ghe o�er of tlte <br />pe°opert�, you tffiust provide a i�ltet° o� per�ission frora► i�re ov�raes° givua� consen� t� the %ling of this apQGcation. Ti,e <br />peoperiy ov�ruer must sdg� this appl�c�t�on fmr it io be �ecepteda <br />Property I;esc�iptio�eoposal <br />Address or General Location <br />Legal Description <br />Properly identification # (I'IN #) <br /># of Acres <br />Current Zoning <br />:7 :� L� �, fL y Nl G ev p✓� v� <br />L c-, °f � ? r E3 �.. !� ( � N c ;z s . : �--c ,a ,�1 1 s ¢ A � � r �r� e� ,�l <br />L>$ 3� L? i�d Oc: �2 <br />� �, �' � p � � -� iU A ct�� � <br />�° 2 T'i,v G F/�� t a..� �.rs � a���3c t.. <br />Type of Applicatzon <br />Q Comprehensive Plan Amendment <br />� Rezoning <br />❑ Major Subdivision <br />o Minor Subdivision <br />❑ Planned LTnit Devefopment (PUD) <br />o PUD Atnendrrtent <br />` ❑ Conditional Use Pemut <br />�p Variance <br />� Code �.ppeal <br />❑ Deveiap Review/Site Plan <br />a Wetland Altergtion Pe►zx�it <br />❑ Wetland Buf�er Pern�ic <br />o Floodplain Pemui <br />0 ozn�r <br />�Z50 <br />$250/acre; rnin �ZSQ max $1500 <br />$�50 -� $250 deposit� <br />$200 <br />Refer to rezoning fees <br />$350 <br />R- E 9 R-2 $75; alt others �250 <br />R- E, R-2 � I 00 all others �250 <br />�i00 <br />$ t 25/ACre; min � 125 mu.�c $i50 <br />R-1, R-2 �150; all others $200 <br />R-1, R�2 �25; all others $100 <br />$zoo <br />_ *Deposits shall be paid to eover a[1 eosts of public notices, materiais and staff or consultant time spent in ihe review, <br />research or preparation of materiaEs associated with t#vs applica[ion. T'he applicant shall be responsible for ali reasonable <br />-.. inc�erred aosts in e;ccess of the initial deposit amount. Any portion uf the deposit not spent or er►cumbered shall b� refunded <br />to the applicant within thirYy {30) days after consideration ot Yhe application is completed. <br />--�--•�: . <br />� ., ��� _ <br />Plea�s� r,ompt�ee th� reverse sid� of �his applecationo <br />