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<br />LAND USE APPLICATION - CITY OF HASTINGS PLANNING DEPT <br />101 4th St E, Hastings, lvll"\J 55033 - Phone: 651.480.2350 ~ Fax: 651.437.7082 <br /> <br />Address of Property: ~I J.. 7 . v'tyf'rl \ 'llloY"l Sf. (V) 11-0\ t. TOuq~ c.t1i-LA.)A.~ H- <br />Legal Description of Property: laO'lt?-2 ,'1vr"hO\i\ ot ~, lot ;mf(()VelY1tV\.~ I D~Q <br />()v\ '1h Lots +-tv'~<- d Fo~ of block. "VlQ V'LV #l.dIIDV\ tJ.dZ:..eihD(I <br /> <br />Applicant Name: (I1MWS Z,~ Propertyowner:~~ /AiC- <br />Address: -;70;:;..'-1 (IV1~. <.+ Address: ;(/,z, i .J/tJJ'h't IlldPC- -> 1- <br />/1a8l7Y\~.J vV/tJ 53"bJ.J <br />Phone: lPS7-l./38-'INI fI;$J-JO'l-b1Jl5 Phone: 6/:5 ~'31? It{ r:.~.z.. <br />Fax: Fax: <br />Email: ;112 ilt.;'1 (}-oil-If" (i)C!PWlc:as;l. i'\~f Emili: <br /> <br />Description of ReHuest: USL~!.... bGL1( dG.~ 11Y1~ (1.$ a....Vl cdiJj t'L..)~r'Ylt:ir~ <br />$Lop ,J.;;fL ~ ~ pIN ff)~ <br /> <br />If requesting site plan review of multi-family units (three or more attached), are the units <br />intended to be for sale or rental units? <br /> <br />Check Applicable Line(s) <br />Rezone $500 <br />Final Plat $600 <br />Variance $250 <br />Vacation $400 <br />House :tvIove $500 <br />Prelim Plat $500 + escrow <br />Site Plan $500 + escrow <br /> <br />Please Note! All Fees and Escrows are due at time of application. <br />NIinor Subdivision $500 <br />.jj Special Use Permit $500 <br />Comp Plan Amend. $500 <br />Lot Split/Lot Line Adj. $50 <br />Annexation $500 plus legal expenses <br />EA W $500 plus $1,000 escrow <br /> <br />Please see reverse side for escrow amounts required. <br />t\''". <br />Total Amount Due: $ DJoO .~::- <br /> <br />Make Checks payable to City of Hastings. <br /> <br />Please ensure that all copies of required documents are attached. See reverse side of this <br />application for infonnation. <br />.1 <br /> <br />/ <br /> <br /> <br /> <br />'~/3 ~OS- <br /> <br />Applicant Signatu# <br /> <br />(M'V{(1vs> A ZQ:ih <br />Applicant Name and Title - Please Print <br />OFFICIAL ~~E Ol)il:X ~ <br />File# . t.tW:'~)'f-" Ree'~By: . r .~ <br />Fee Pro.d: . '~./)i.! ., .. j, J ReceIpt # ~ l \I) t' <br /> <br />Date <br /> <br />r7 . L c.--.-7 /.-., . i>J - <br />'r~x . ,..:' . ;,~o?~-,;fk~/JYV"$h. I Ale. <br />Owner Slgnature Date 4I-IS-O!J <br /> <br />/t;y & I/w' .z. :::,i 1111 C- <br />Owner Name - Please Print <br /> <br />L...\-\" t ..( <br />Date Ree'd: \ lv,' 1; ':') <br />App. Complete <br /> <br />03/2f3/05 <br />