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04/28/97 15:09 FAX 812 784 3462 CITY OF RVVI <br /> 002 <br /> I7 <br /> D1JThCOMMUNrrY AEV�GOP�IZENT DEPA►RTM�N`T <br /> DEVELOPMENT AP'PLICATI+ON • <br /> ep <br /> 2401 lEghvray 10,Maemds flew MN SS I I2 <br /> " 612-784-3055 <br /> . . . _ _ --- -- - - 612484-3462-FAX <br /> •• - - - Please Type or Print Information-Complete Bods Sides of This Form <br /> APpat rinutian t c <br /> Name of Applicant !�� S fY f— �Y N7 ry�G Telephone 6,12-33i— <br /> &i `4©9O. <br /> Fax • 331- 1540 <br /> .. . - ."rest <br /> mProperty(check appropriate box) .. . . <br /> Owner of Property <br /> 0 Contract for Deed Owe -- <br /> a Lame,Operator,Manager <br /> a meat to Purchase <br /> a Other(explain) -_ <br /> Applicants must provide evidence.of intent is property et the time of application,,and I'you are not the owner of the <br /> property,yea mitt provide a letter ofpermissiiea from the owner ging consent to the filing of this application. The <br /> property owner ntnst sign this application for if to be accepted- <br /> Property <br /> cceptedProperty Descriptio(proposal • <br /> Address or General Location <br /> Legal Description . ;. I • , ' 4 . ICH , 101k ,. <br /> Property Identification#cP <br /> ofAmea <br /> Current Zoning <br /> Use It=of Application <br /> Undeveloped/Vacant ❑ CoCOMprebenSive pint Amami SZQO <br /> a Single Family Dweiling a Rimming 5200/ac;mm$200 max$1000 <br /> o DaplexrTwo Family v a . <br /> • Tint t:....r.. Digs a /rEttor Subdivision 5150 ,. <br /> CBusinessiCaumercial.Establishment . a Maned Unit Development(MD) $350 <br /> a Industria' t1 7i a I'QDAmendment SI50 <br /> C Ocher(explain) a Coaditiorai Use Permit R-1,R 2$75;all others 5200 <br /> Valiance R-1,R 3 alI others$200 <br /> o Cede Appeal $75 , <br /> - t3 -- Develop RevieveSite Plan $ 00/ac aim 3100 max 3500 <br /> a Wetland Alteration Permit S50+dcposic# <br /> a Welas:1E1 Buffer Panic 7 <br /> a Floodplain Permit S200 <br /> G Other <br /> 'see Municipal Carle for explanadon of deposits • <br /> Please complete the reverse aide of this application. <br />