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i � <br />� �,. <br />sy;�yr'' �{; <br />! ; <br />:�Ji4�ic`'t;'%v �� � ���:I.����� �E��a� �� <br />- .� I)EiT�IJOP P�i'T ���.ICATI�r1 <br />R �'°a�,,;�< 240 i i�zghway 10, �Iounds View. �155112 <br />-,, �'t:::,'.r,i <br />rn��'�� ° �arcneYS"'Q° . 6IZ�717-4020 <br />612-784-3462 — FAX <br />�lea�e'I'ype or Pa��f Informatiot� - Co�apl�4e �o#h Sides of Tlais For� <br />Applicani Trtfor�a4io� // <br />Name of App}icant C.��.��0 �/i/ r%�f_'.T' _ Telephone W/� "%� %'/(a�� <br />Address Zc� I/%?7'c_Q��c° �2 . Fax <br />fl�L7/�/� I�! a c� d/f?°^.� .� ��/ �. <br />Interest iva Propeety (check appropriate bax) <br />� Owner of'Property ❑ Contracf for Deed Owner <br />❑ Lessee, Operator, Manager ❑ Agreement to Purchase <br />o Other (explain) -- <br />Applisanis musf peovride evieHertce af interest i� property at the tasae of ap�alicaiion, and if you are nat the o�vaaee oi tbe <br />ps�operty, you �usi provide a tet�er of per�aission from t6e o+�er gi�immg co�asent to abe islin� of itais application. Th� <br />p�opeMy o�er must sig� fhis application fo� ik io be acceptedo <br />�eo�erty Description/Proposal <br />Address or Gene�eal Loeation J C� �l //7�'���� �7� • <br />Legai Description <br />Peoperty identification # (PIN #) <br /># of Acres <br />Cuirent Zoning <br />��f 1��,`i�c�-( <br />Type of AppEication <br />o Comprehensive Plan Amendment <br />❑ Rezoning <br />❑ Major Subdivision . <br />� Minar Subdivision <br />[€ Planned Unic Development {PUD} <br />q PUD Amendment <br />'�' Coaditiona! Use Pemut <br />o Variance <br />❑ Code Appe�l <br />❑ Develop Review/Site Plan <br />� Wetland Alteration Pemvc <br />❑ Wetland Buffer Permit <br />❑ Floodplain Permit � <br />❑ �ther ?��. . <br />$250 <br />$2S0/acre; ruaYt $2.5� max $ I 500 <br />$250 + �250 deposit� <br />$200 <br />Refer to rezoning fees <br />$350 <br />R- I , R- $75; otiiers �25d <br />R-1, R-2 ali others $250 <br />�100 <br />$125/aare; min $125 max �75Q <br />R-1, R-2 $150; all othars �200 <br />R-1, R-2 $25; all oihers $100 <br />�200 <br />'�Deposits shail be puid ta cover all costs of pablic notices, ina[erials and stat� or consultant time spent in Yh� review, <br />research or preparation ot inateriaEs associated with this �ppiication. The app[icant shall be responsible for all reasonable <br />incurred casts in excess of the initial deposit amount, Any portian of Lhe deposit not spent or encumbered shatl be reiiunded <br />to th� appiicant within thirty (30) days �er consideratior► of che appkication is completed. <br />Ple�se cosa�pi�te th� ree+e�sg siti� of th�s �applac�iion, <br />