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<br />'ii;2dJ4-s~- <br /> <br />LAND USE APPLICATION <br /> <br />CITY OF HASTINGS - PLANNING DEPARTMENT <br />101 4th Street East, Hastings, MN 55033 Phone: 651.480.2350 Fax: 651.437.7082 <br /> <br />Address 01 Property: \ 9 ,-+"1 Q I D <=; c c...A N E. <br /> <br />Legal Description of Property: <br /> <br />G,)L<.N\1'2J.( G..u"", <br /> <br />~T 3 <br /> <br />t)L"C\<- I ~ <br /> <br />Applicant: <br />Name <br />Address <br /> <br />Owner (If different from Applicant): <br />Name SA~ E.. <br />Address <br /> <br />L-", I<o'i 1=, NKE.- <br />\ '\'+1 (<, [)r-;r- LANE <br />t-h'\ST1 ....rc. <; <br /><05 I '+ "3. I I I 'f':) <br /> <br />Phone <br />Fax <br />Email <br /> <br />Phone <br />Fax <br />Email <br /> <br />Description 01 Request (include site plan, survey, and/or plat if applicable): <br />liVD"'o'-l 'To N0N - CD'" ror<-"" , ,,-,C""1 GA"'-AG€. , <br /> <br />FRoM <br /> <br />3,5"' TO '+.0' <br /> <br />NO(2:,W L",'''- L.( 1\ 1 F . <br /> <br />Note: All fees and escrow amounts due at time of application. <br /> <br />Check applicable box(es): <br /> <br />y <br /> <br />Final Plat <br />Minor Sub. <br />Rezone <br />Spec. Use <br />Variance <br />Annexation <br />EAW <br />Prelim Plat <br /> <br />Site Plan <br /> <br />TOTAL: <br /> <br /> <br />~ <br /> <br /> <br />Administrative Lot Split <br />Comp Plan Amendment <br />House Move <br />Lot Line Adjustment <br />Vacate ROW/Easement <br /> <br />$50 <br />$500 <br />$500 <br />$50 <br />$400 <br /> <br />$600 <br />$500 <br />$500 <br />$500 <br />$250 <br />$500 plus legal expenses <br />$500 plus $1000 escrow <br />$500 plus escrow: <br />- Under 10 acres: $3000 ($500 Planning + $2500 Engineering) <br />- Over 10 acres: $6000 ($1000 Planning + $5000 Engineering) <br />$500 plus escrow: <br />- 0 - 5,000 s.I.: $1500 (Engineering) <br />- 5,000 -10,000 s.I.: $2500 ($500 Planning + $2000 Engineering) <br />- 10,000 - 50,000 s.l.: $3250 ($750 Planning + $2500 Engineering) <br />- 50,000 s.l. +: $4000 ($1000 Planning + $3000 Engineering) <br /> <br />Date <br /> <br />Signature of Owner <br /> <br />Date <br /> <br />" - 28 - 0 Y <br /> <br />$p,,,,,,~ <br /> <br />Applicant ame and Title - Please Print Owner Name - Please Print <br />L::.ko'-t' t-='L NICe. \--t6"'\C::v"-' /\J EvL..- <br /> <br />Official Use Only <br />File# ~ts- <br />Fee Paid . ... <br />, <br /> <br />4/23/2003 <br /> <br />b/~/rJC! <br /> <br />Rec'd By: '2:~'^~ <br />Receipt # f) <br />I <br /> <br />Date Rec'd <br />App. Complete <br />