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.. ::_. - :�... .; ': I ':: � .::: �.: I .- " <br />bi� N �A ��; <br />�.q�.�1 . •il` <br />?j ��;'�'<; �;;; :� CO D�+ �I,OPI�E�di' Il�+ P[��t I�T <br />-- -� I3EVELO�IQ�EE�T'I' APPI.,�CA�O� <br />p ' r:'"`� ��� 2401 Highway 10, Iviounds �iew MN 55 t 12 <br />.A ;,,;,� :;,.f; <br />~Okryryj e FSh\Q4 612r717�4020 <br />PdPtRe <br />51�-784�3462 - �AX <br />PIease'I'ype or Prinf Ta►foa°ttaataore � Cornpleie $oth Sides of `i"his FoPra <br />r4pplie�n� immfo�axaaeion //° . . , <br />Name of Apgiicani � /�,�f,/��✓ i �/�l.C/ <br />Address ��� �(J iU lo � �G� �� � <br />��lQu�r�/,�.5` � � /�� ✓t� <br />�%� <br />Inte¢°est in �rop�rty (checic appropriate box) <br />r� Owner of Properry <br />❑ Lessee, Operator, Manager <br />❑ O[her (axpiain) <br />Te[ephone �� ..�-1�-� %� <br />Fax <br />❑ Contrac[ for Deed Owner <br />a Agreement ta Pureh�.se <br />Applzcants must provide evidence of inte�est in �roperty at the tiffie �f ap�siicatior�, a�ad if you are not t�e ow�er of the <br />propea°ky, you mast provide a letter o� per�ission frooi tt�e omner giving c�a��e�t to the fiti�g of tlxis applica�io�. �e <br />proper�y ow�er maast siga this appl�caiio� fo�° it fo be aecepied. <br />��°opet�ty I�escx°eption/Proposal 3 % �..i__' � <br />Address or General LocAtion %,f�L�C> GO��h A� �-a'�''J� �����'��S ���f <br />i ��1�3� o��� T�,r >ULV e�.S 3 3 iC`' �. <br />LegalDescription j �" � .S� ��-� i=.r d-�=iit�-�- � C° � %`LU'/° G- .� �3 <br />/ � <br />Properiy Identification # (PIN #) 1,� -- � 3 � 6 U � � �- 3 ► � ��� Z'i 5 <br /># of Acres � � • 7 � '� � � C, + -•'> � � <br />CurrentZoning f=:"♦-- 1�' . ,., _� <br />Type of Application <br />❑ Comprehensive Plan Amendment <br />❑ Rezaning <br />a Major Subdivision <br />❑ Minor Subdivision <br />❑ Ptanned Unit Development (PUD) <br />❑ PUD Aznendment <br />� Conditionat Use Peiuut <br />❑ Variance <br />❑ Code App�al <br />o Develop RevietivlSite Plari <br />❑ Wetland Alteration Permit <br />o Wei4and Buti`er Pemut <br />o Fioodplain PetYnit <br />❑ Other <br />�250 <br />$250/acre; min $25fl max $ i 50Q <br />$250 -� $250 deposit* <br />$200 <br />Refer to rezoning fees <br />�35� ,.--�} <br />R-1, R-?�$75; aIt others �250 <br />R-1, R-2���Yt?0 all othzrs $250 <br />�100 <br />$125/acre; min $125 ma:c $750 <br />R-1, R-2 $150; atl otlZers $200 <br />R� ! , R-2 $25; aIl others $100 <br />$zoo <br />*Deposits shall be paid to cover all costs of public notices, materals azad staff or consultant time spent in the revie�v, <br />research or preparakion ofmaterints associated widt dus application. 'ihe applicant shall be responsible for all reasonable <br />incwxed costs in excess of d�e initia! deposit amount. Any portion uf the deposiE not a-pent or encumbered shall be reiianded <br />to the applicant withirs ttiirry (30) days aftec consideration ot'the appEicaEion is comp3eted. <br />Ptedse cotnplet$ the re�verse side of 4his :��ptica�iono <br />