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<br />No v. I 2. I 998 11: 05 AM <br /> <br />MCCOMBS FRANK ROOS <br /> <br />No. 5076 P. 4/10 <br /> <br />.. <br /> <br />SECTION I: GENERAL INFORMATION <br /> <br />)() <br /> <br />A. Sponsoring Governmental Unit <br />Name of Local Contact Person <br />Address <br />Telephone Number FAX Number <br />Internet Address (if applic:able) <br />Dare of Prep3I'3.tion <br /> <br />B. Type of submittal <br />o Overall plan revision or update <br />or <br />[J Plan amendment <br />Name of amendmentlbrief description: <br /> <br />Land use change (describe): <br /> <br />Size of affected area (in acres) <br />MUSA Expansion? [J No [J Yes. If yes, size of expansion (in acres) <br />Other (Please describe) <br /> <br />C. Please attach seven (7) copies of the following: <br /> <br />1. Completed Information Summary for Com.prehensive Plan Revisions and Plan Amendments (this'forrn) <br />2. The proposed plan revision or plan amendment. <br />3. A city-wide map showing the location of the proposed cha.nge(s). <br />4. The current plan map, indicating area(s) affected by the revision or amendment. <br />S. The proposed plan map. indic:adng the subject area(s) of the revision or amendment. <br /> <br />- <br /> <br />D. What is the officialloaU statuS of the proposed plan revision or amendment? (Check all that. apply.) If a <br />repon regardmg this plan revision or amendment was prepared for the local Plan.ning Commission or City <br />Council please include one (1) copy of that report along with the submittal package. <br /> <br />D Acted upon by planning commission (if applicable) on dare. <br />D Approved by governing body. contingent upon Mecropolitan Council review on <br />o Considered, 'but not approved by governing body on date. <br />D Other (please describe) <br /> <br />dat.e <br /> <br />E. Ust adjacent local governmental units and other jurisdictions (school districts, watershed districts, ere.) <br />to which copies of the plan revision or amendment have been sent, and the date the copies were sent to <br />them. (Required by Minn. Stat. 473.858, Subd. 2). <br /> <br />) <br /> <br />'. j <br />...~~>. <br /> <br />958 <br /> <br />May 1997 Local Planning Handbook <br />