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<br /> <br /> <br />- -.'! . ...., <br />;. ~ <br />1-tt:. <br /> <br />fl <br /> <br />J . <br />11~1~-D9 <br /> <br />CI'IT c)F R:bT.."'--;- T;;:' <br />26W Civic Ce..'1""-2r Dri.....e <br />~lill~ Mir.nesc~..a 55113 <br /> <br />Please d-.eck item. or iter.s for ..hich )'Ol1 a."'"E a~l~'i.rJ:;: <br /> <br />_ f{,'D <br />~ani.'"'g <br />7" Special Use Pemit <br />- Vacation of Right~f-Way <br />- P.r21iJrinary ~ Fi.'1al Plat <br /> <br />$7::0 <br />$:300 <br />$200 <br />$~OO <br />$500 <br /> <br />CtEprehensive Plar. ~~Y'J:t:' 'nt. <br />Divisic."1 of Platted I.ot <br />- RelocatiC""\ cf D..-elli.'"J:j <br />- - Variance to Zani.n:; Ortiir.arce <br />Shoreline ?e-.~t <br /> <br />$75Q <br />$100 <br />$100 <br />$200 <br />$ 50 <br /> <br />Please cnIp1.ete fom by typirq or prir.ti.~ i" ink. If tbe spaces prc'rided are <br />:insufficient, use acXlitional sheets, keyirq infor::-ation to the proper item ~: <br /> <br />1. <br /> <br />~Dg(~ <br /> <br />~1"ca.rtIJ <br />li'~) <br /> <br />{Z"<l.c.:.llej <br /> <br />(LaSt' <br /> <br />lmcr.e} <br /> <br />2. <br /> <br />_ :2.(,' () ~ .....,.....C!'~....^' LJ 4o/~ A.J. <br />Address of owner: (No. a."'rl street) <br /> <br />oS:r /,)~"... <br />(Cl. ty; <br /> <br />mv <br />(State) <br /> <br />S-S-n J <br />(Zip) <br /> <br />3. <br /> <br />E~rl'l.o rA..... /..'~T. ~A;c-. a'ba <br />Name of At:;>licant: . (Fi.r=t) <br /> <br />teI7'lP~c.~ ,?JC4'LI r'f .5~.$r~ <br />Wj.ddle) (Ii.L~) <br /> <br />(R'.cne~ <br /> <br />4. <br /> <br />z~~ IhtoUJII.J-' ~,... ~..Jc <br />Adciress of Applicant: (~.o. ani Street) <br /> <br />S-.P!/~ <br />,Zip) <br /> <br />/17, AJ";'-'7t ~~ <br />(Ci.ty) <br /> <br />,,"/OJ <br />(State) <br /> <br />s. <br /> <br />'9t>J ~~,IIt.~ACS~'T'" I ~-'.,....n...r <br />Street J!d:iI:'e&s of _ ' rt:j Imrolved: <br /> <br />,nil,) .~""I/J <br /> <br />6. Cc:!plete Legal Dasc:riptian of Frcperty Irnlolved: <br />Ifel t)"LclfI~r <br />~r :.. .~~cc'"' I. <br />.~ T . <br />1r~~LJ",...." rA.J'~.'. r i'2 ...... ,''?,,''/c.. <br /> <br />7. <br /> <br />Date Prcperty Acq'.rired: <br /> <br />"'-.,.. J<. ~D"&I...) <br /> <br />8. <br /> <br />Pr2ser.t Use :)f Prcpertv: ~~'K../iU.+<ltlT~~~ 9, <br />Prqx~;ed Uoo of ~l:~~~': /""""~."b&)$tr <br />i/',,,,c.., $_"'~E <br />Prese..'"1t Ca::pI:e!!t:;(.si":~ r~2...~ i);?~iq:1o.1t:ir::1: <br />Prq::cse:j ~rcl:ensive Fla."'! D?sig7'.:l:'i:::n:, <br /> <br />Prese)"lt ZCn1..i-'; of P::"::::pert:y: <br />Pr.::';::csa:i :C.Tli.~ of Property: <br /> <br />X-I <br />I-I <br /> <br />10. <br /> <br />11. <br /> <br />~t plan or C:-..Jn::;e ;:Jakes '::.'Us r~..:.e.st: ;.ec:es.5d....~{? ~~....J j.J~" ..L.J... <br />Z... I} /....C/n.J3.." AlIW &un t-::s.IIJ ~~~ t:J....n T.2urlC_ LJTd~I"'- :/':A<nLl-. <br />t!)A.IoI..V 'T'Nr )j~~I<tII."i)w,o. J(),Tlt.. .$A~ ..,~ y .IlJ1I~'!.!L..J:h' MIr k~tltT1CAJ. <br /> <br />12, \>'hat is tl:.e e.xpect.:ri efftXt C'f t."~ t:rc,;:c::",,-~ d".:m:;c? (EoI"' e.~'":'tJle, 0.."1 prcperty <br />values, hcaltl). ;atety, par~~, ':..>-;Jt::;..c ccm.l'Cicns, 2tc.) <br />NiH.J.. E'-=T ~~.~r ~/~;;I t/"HJ<I-I..I F€> .~,"'L. OAlc1'!&.. A.v::J L#r-t Ar <br />~.A'" :r......n.J'r~/Q'/ A!!!I. rl!:4L'.~. ~_IIJ ~6~'/ Da. k..."'"-'......... $I....'~... 4,,- <br />~ ~,'4Hr'..:c. "10" ":';r ,!ifrMA~~- E...' ffl'~ ~'vcs.. <br /> <br /> <br />