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<br />i~5'-d.q <br /> <br />LAND USE APPLICATION - CITY OF HASTINGS PLANNING DEPT <br />101 4th St E, Hastings, MN 55033- Phone: 651.480.2350 - Fax: 651.437.7082 <br /> <br />Address of Property: ! 003 .f IO()5 <br />LX?al Description of Property: L-f' f L s <br />Wd.;hd JJ <br /> <br />Applicant Name: G ( eM J'\ C)1.0N <br />Address: I '2.. ! 50 r fI' di~iJ r. \'WA Tr. <br /> <br />5i.hfR..y STr.. <br />. B}o 4-/L 7 <br /> <br />ff-v G. <br />~,~ <br /> <br />.E.Cj,'! (Y5 <br /> <br />Property Owner: <br />Address: <br /> <br />Phone: l~,~' f - l{s '7 -- 15 7'1 r.r <br />Fax: ~5.i - 437 - 'b? I"? <br />Email: rj.t.vu. ()ko.N @ +'\ I eCc. .012.. c,. <br />e..e.lI ~l- sP12. (c,-lO'2-. <br />Description of Request: i o'/" ~ <br />? 0 -e~'5 <br />0( (.e Citr1,I/\ 't t-Jt:'IJ , <br />~, ~r.' <: V' C.'? t;>~ I b -\- '5; 2.P <br /> <br />Phone: <br />Fax: <br />Email: <br /> <br /> <br />F:- <br />01 <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 />>C Variance $250 <br />Vacation $400 <br />House Move $500 <br />Prelim Plat $500 + escrow <br />Site Plan 5500 + escrow <br /> <br />Please Note! AIl,Fees and Escrows are due at time of application. <br />L lvIinor Subdivision $500 <br />Special Use Permit $500 <br />Comp Plan Amend. $500 <br />Lot Split/Lot Line Adj. $50 <br />Annexation $500 plus legal expenses <br />EAW $500 plus $1,000 escrow <br /> <br />Please see reverse side for escrow amounts required. <br /> <br />Total Amount Due: $ '2 5f) ~ <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 information. <br /> <br />. ~ O~{A <br />A~cant Signature <br />G(~ VV) <br /> <br />l.-{ /' /1 ~C6 <br />Date <br /> <br />'-~ O~XV'- <br /> <br />9- (ft- CD <br />Date <br /> <br />Ow'ner Signature <br /> <br />o ISo rJ <br /> <br />Applicant Name and Title - Please Print <br />OFFIGAL USE ONLY -<i'i' <br />File 1'# ~.o5' ~~ ( ,/\ Rec'd By: <- )1-J10Z,!J1V1 <br />Fee Paid: '~O(). c~ Receipt # I C.;() J-; t'4~ <br /> <br />Owner Name - Please Print <br />f),' , J ,J 03/28/05 <br />Date Rec'd: KGu- 'tlt<tIO~ <br />App. Complete <br /> <br /><., <br />