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0 <br />C�04� Of� <br />� L �j <br />°� V <br />"e,, i��� <br />p S <br />Q�resj ° Fartne<S�'�Q <br />CBMMIlNli1� DEV�LOPMENT D�PARiM�NT <br />•> , ; . >-- . ;� <br />2401 Co�nty Road 1a, Maunds View, MN 55112 <br />(763) 71%-4020 <br />. Fax (651} 765-1660 <br />Please Type or Print Informatinn - Comp[ete Both Sides of This Form <br />�pplic�r�t Ir��o�rrr�atoon - . <br />Name of Appiicant �'� 4�V �n t � Y I k� t- � TeEephone `� � r�`� � d���� <br />Address ��°t�S� t= r�� � W��� " Eax <br />C1�.��.���,w . !�n. ��jt�� _ <br />E-mai1: <br />Irtt�re�t in Pro�et'ty {Gheck apprapriake box) <br />J�, Owner of Property <br />❑ Lessee, Operator, Manager <br />O - Other (explain)_____m.�� <br />❑ Contract for Deed Owner <br />� Agreement to Purchase <br />•" � .r , i . , - � � � . _ , �- � - _ - _� � . . :__ .�. r - <br />_. � ;_, .. : _ � ,. . � i ',r . • r ,: ._ . , �- ! _ ' - - �. .. <br />-F..�._°'I; „'I_:..I '�TI�" _4.i. ... �', ,:��z. , <br />� � _ . : • e;' : r' 'i .�Y .: i,° � r ' ��✓ ^'� �'� s..�_ Y?,.. - . �., <br />. � �: ; •, ,' i i i, .�: .. �. . , �_�. <br />�� ;�.1 ) - -� - - a f " . # � � <br />Address or General Loeation <br />Legal Description <br />Property Identifieation # (PIN #) <br /># oP Acres <br />C�rrent Zaning <br />`.f '� ` f. ' _� ,� ! - �' ' ". <br />� <br />� <br />� <br />❑ <br />❑ <br />� <br />❑ <br />0 <br />❑ <br />❑ <br />p <br />❑ <br />❑ <br />��'1`��b � � ���r�� I'�lOvs�e�� iS��.er•b _ <br />� `�'�i 6�c s� ,� <br />Comprehensive Pfan Amendment <br />Rezaning <br />Major Subdivision <br />Minor Subdivision <br />Planned Unit Development {PUD) <br />PUD Amen�r�ner�t;� , - <br />Conciitiona�/In�erim Use Permit <br />Variance <br />Texi Amendment, Zoning Code <br />Tex� Amenc4ment, Other Gity Code <br />�17evelo,,�x Review/Site �an �, •;�,, <br />Wet�anci Aiteration Permit ' <br />Wetland BufFer Permit <br />Other <br />$250 <br />$5Q0 <br />$50Q <br />$250 . <br />$750 - <br />$350 e � , ' • •-� <br />R-1, R-Z $150;,ai1 others $325 <br />. R-i, R-z $150; a{i'others $325 <br />$15� <br />$1Z5 <br />� cL� � �12�,/+acre� min $1��'�r;na�$750 <br />Rai, R-2 �15�; all other's $2a0 <br />R-1, R�� $25; all others $100 <br />. €: <br />;t <br />