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111 Plat —Sketch Plan <br />rl Administrative Plat <br />Conditional Use Permit <br />El Zoning Amendment <br />E Dwelling Moving Permit <br />r1 Non -Traditional Animal License <br />Name: <br />Street Address: <br />City, State, ZIP: <br />Home Phone: <br />Email: <br />[1] Plat — Preliminary Plat <br />Site Plan Review <br />E Interim Use Permit <br />_ J Home Occupation Permit <br />E] Environmental Permit <br />E Beekeeping License <br />Land Use Application <br />E Plat —Final Plat <br />LI Easement/ROW Vacation <br />LI Comprehensive Plan Amendment <br />[1] Variance <br />rl Registered Land Survey <br />LI Private Kennel License <br />Applicant Contact Information <br />Please note: All official communication will be routed through this contact. <br />&loor) Bwanck <br />) 4(r0 I Ro,mS-eu) ebd <br />Work Phone: <br />bitn F( <br />Name of Business (if Cznn-e-)tutsgzyrzr5A), Low, <br />applicable): nnn-e_kkAs -F <br />Business Address (if applicable) <br />Business City, State, ZIP <br />Business Phone: <br />Address <br />PIN <br />Legal Description <br />Zoning District <br />Fax Number: <br />.11-Lf)c) Rayy).eA.5 EWA, <br />gcmir-eul MN 03 <br />Business Fax: <br />Subject Property Information <br />(Location of Application) <br />7--327 <br />-7(0S -32_3 <br />1-Lnc\siciAn,act Rosn-eul MN 56303 <br />D.5) Ood <br />Gd4-0.C..\rWrItayyt <br />--- Meat WrirN -12X)S Ckt(441,1 <br />Contact the Planning Division at 763-433-9824 or PlanninaPcitvoframsev.com to request a Zoning Verification <br />