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Land Use Application <br />al Plat — Sketch Plan <br />❑ Plat — Preliminary Plat <br />Q Plat — Final Plat <br />❑ Administrative Plat <br />❑ Site Plan Review <br />❑ Easement/ROW Vacation <br />E Comprehensive Plan Amendment <br />II Conditional Use Permit <br />III Interim Use Permit <br />❑ Home Occupation Permit <br />II Zoning Amendment <br />III Variance <br />❑ Environmental Permit <br />C Registered Land Survey <br />111 Dwelling Moving Permit <br />[ Beekeeping License <br />C Private Kennel License <br />III Non -Traditional Animal License <br />Applicant Contact Information <br />Please note: All official communication will be routed through this contact. <br />Name: <br />Tim Pomerleau <br />Street Address: <br />10122 Ewing Lane <br />City, State, ZIP: <br />Brooklyn Park, MN 55443 <br />Home Phone: <br />Work Phone: <br />612-867-6533 <br />Email: <br />Fax Number: <br />Name of Business (if <br />applicable): <br />Meadow Creek Builders, Inc. <br />Business Address (if applicable) <br />Same as above <br />Business City, State, ZIP <br />Same as above <br />Business Phone: <br />Same as above <br />Business Fax: <br />Subject Property Information <br />(Location of Application) <br />Address <br />15153 Nowthen Blvd. NW <br />PIN <br />23-32-25-41-0081 <br />Legal Description <br />See Plan Set <br />Zoning District <br />R-1 Residential (Detached Villa) <br />V <br />Contact the Planning Division at 763-433-9824 or planninaPcityoframsey.com to request a Zoning erification <br />