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<br />SECTION I: GENERAL INFORMATION <br /> <br />A. Sponsoring Governmental Unit <br />Name of Local Contact Person: <br />Address: <br />Telephone Number: <br />Internet Address: <br />Date of Preparation: <br /> <br /> <br />B. Type of submittal <br />o Overall plan revision or update <br />or <br />~ Plan amendment <br />Name of amendment/brief <br /> <br /> <br />.~.~.~.9..~.~.~.....s.h.~D...~.~....~9.~.?c::r!g.~) : <br />~.~~i!li~ig!i..................... ............................,.............. <br /> <br />'fffl <br /> <br /> <br />Size of affected area (in acres) <br />MUSA Expansion? i No 0 Yes. If yes, size of expansion (in acres) <br />Other (Please describe) <br /> <br /> <br />C. Please attach seven (7) copies of the following: <br /> <br />1. Completed Information Summary for Comprehensive Plan Revisions and Plan Amendments (this <br />form) <br />2. The proposed plan revision or plan amendment. <br />3. A city-wide map showing the location of the proposed change(s). <br />4. The current plan map, indicating area(s) affected by the revision or amendment. <br />5. The proposed plan map, indicating the subject area(s) of the revision or amendment. <br /> <br />D. What is the official local status of the proposed plan revision or amendment? (Check all that <br />apply.) If a report regarding this plan revision or amendment was prepared for the local Planning <br />Commission or City Council please include one (1) copy of that report along with the submittal <br />package. <br /> <br />I Acted upon by planning commission (if applicable) on Q~~~i[QQ. <br />~ Approved by governing body, contingent upon Metropolitan Council review on <br />o Considered, but not approved by governing body on date. <br />D Other (please describe) <br /> <br />............................. <br />O~~~a.~()O . <br />.........................................~............",' <br /> <br />E. List adjacent local governmental units and other jurisdictions (school districts, watershed <br />districts, etc.) to which copies of the plan revision or amendment have been sent, and the date <br />!~~c:~pi~s~~~e sent to them. (Required by Minn. Stat. 473.858, Subd. 2). <br />~Q~~glllm~l~ <br />