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��yCrrY OF 'RD6C�E <br />2660 Civic i/w.ww... Drive <br />W evil1e, Minnesota 55113 <br />Polease check item or items for which you are applying: <br />• <br />PUD <br />$750 <br />Comprehensive Plan Amendb nt <br />$750 <br />gezaaing <br />$300 <br />Division of Platter Lot <br />$100 <br />Special Use <br />Permit <br />$200 <br />Relocation of Dwelling <br />$300 <br />Vacation of <br />Right -of -lady <br />$200 <br />Variance to Zoning Ordinance <br />$200 <br />.� Preliminary <br />and Final Plat <br />$500 <br />Shoreline Pemit <br />$ 50 <br />Please couplets <br />form Ly 'typing <br />or <br />printing in rink. If the spaces provided <br />are <br />insufficient, use additional sheets, <br />keyinformation to the proper item numbers: <br />3,. <br />2. <br />3. <br />4. <br />5. <br />6. <br />O <br />LQ <br />a c, 14S <br />e- <br />aSe✓7i,G <br />Name of Owner: <br />first) <br />(Middle) <br />zx;o <br />(Last) <br />(Phone) <br />C?l_ — <br />/— <br />C/, <br />Address of Owner: <br />�(No. and Street) <br />(City) <br />(State) <br />(Zip) <br />j�d <br />i 19, <br />Name of Applicant: (First) <br />(Middle) <br />(last) <br />(Phone) <br />f <br />t,� <br />L3 <br />Address of Applicant:(No. and Street) <br />(city) <br />(State) <br />(Zip) <br />Street Address of Property Involved: 4 to-' 6 <br />7. Date Property Acquired: <br />8. Present Use of Property: 9. Present Zoning of Property: <br />Proposed Use of property: Proposed Zoning of Property: <br />10. Present Canprehensive Plan Designation: <br />Proposed Comprehensive Plan Designation: <br />11. What plan or change makes this request necessary? <br />12. What is <br />values, <br />the expected <br />health, <br />effect of <br />safety, parking, <br />the proposed change? (For example, on property <br />traffic conditions, etc.) <br />