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~vui-uc~-11 uc:u YM 3P'! LOLL89@ tiPOY@ L211L2t' 691-4~ti-LU4i 2/2 <br />Oct.17. 2001 2;43PM J Thompson and Associates No.b710 P, 2/2 <br />• LAND fJ3E AkPL-ICATTON - CITY OF HAS'I'~NGS pI.ANNING D~P~' <br />~(Y14m Sb ~. ~. MN 55033 -- Piiaiie: 6SlA$0.7350 -• ~aac 653.937.?p62 <br />Address of Pxoperip: <br />Uesccipt~oa of J <br />*~~ ~ ~.es ~~.ir~i~ <br />Applicaxrt Name: •.~ •`,~~QS~e!_~'~~~~roperty pwner. '~ ~ ,~ 1r.~ ~ ~ ~ <br />~~~ - ~° ~ ~i.~i.-=~2hJ~~ A dam: ~A~9 ~ d~ ~ -+ nM ,~ <br />Tim ,,S ~ ~ , ~~ S ~'~-R ~, w~.~ 'S~ c~'Z-r, <br />I'baaue: ,it~Si~ ~a ~ ~'"! a3... ~ PTw~: ~~'t ~~..~'~ <br />Pauc „Ltc t~ 4 t~a_ ~n ~ ~ Pax: <br />ant: J .J ~ ~ ~. 13mai1: <br />~~ <br />DPI of Regnes~ <br />T# 1+eQue~tir~g eife plaxi zeview of smslti-faa~lp ~ {three ar more attached, are the t»~ <br />intended fo Jye fox sale ar'rentel ututs7 <br />c b1e mss) P1~eaee Nobel All and ]~Cro!wg axle dzxe at ~e bf app~irai~n <br />P9na1 $6~ Nlino~r Subdivision X00 <br />~ •v ~~ .-._. Special Use Pe~,it' $500 <br />.,.,_, Vacation _~ ~p Piar- An~nd. <br />_ Houee~fo^~e ~ _: Atnra~ron 13t~e ~- DSO <br />$500 plus expeneeg <br />._._ JPre~zn P9rat + escrow ` EAW _ $SOD plus ~.,ppl1 escrow <br />._ gibe Ilan 5500 + eacrow~- <br />Please see z+avexae Bade far a anwunts required, <br />Total Amottxtt Due: $ 2. ~ ~ ~' . Ma1ce t~,iecks pagable to city of ~, <br />Please-•latat••ali•-eapies ~zegc~d cloo~emt~r-.ere..,,, Sea ~eaerse aide of this <br />aAttttt for ir~farmataon. <br />'QM t'f'~S3sc~"t'K.~ ~l.~C~ <br />Sa;gnature Date Dare • <br />~ o~.•t r <br />uc~ Name and T5.8e - Please P Owxaer Name .- tease J~ <br />T,dO.,h.... _-_- - - <br />~>a~a: ~~ >o-aoc>z~a: i <br />~ ~~ <br />