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<br />-tc1()o S--6 0 <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: t5,sr fiLs?" S~~T g~ R""",sEl" f 7Y(.~ <br />Legal Description of Property: 1.,,1 I J 2.; ~)r Bld/k'? 'f;.,u~~ "',9 '-k~h''l> <br /> <br />Phone: <br />Fax: <br />Email: <br /> <br />I <br />Applicant Name: et;.m;. HELD i ~UI~ JC <br />Address: 7'f/S- ""If'{ 84.,-.-.. 9~ <br /> <br />~- ;;~;:: ~~7 <br />. qSZ- SCf(.- ~g~ <br />'#lord @ e-<:>", ~UN~Y . c.o~ <br /> <br />Phone: <br />Fax: <br />Email: <br /> <br />Property Owner: ;(obear /!. ;(J.hdo <br />Address: .7/ ~ Ah~57i4~ We:s'l" <br />IJJf/~/ /ll/fl ~{42- <br />6/;;2. - 33:3 - 1S"';l--6 <br />h I 2- - BLfJ-- - 2-b 0 e <br />j(o...bclo Il.lLbdoa...hck . ~ <br /> <br />Description of Request <br /> <br />F/#11L PIA.., ApP,e'l>u.., L <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? NJ4. . . <br /> <br />Check Applicable Line(s) Please Note! AU Fees and Escrows are due at time of application. <br />Rezone $500 Minor Subdivision $500 <br />X Final Plat $600e, Special Use Permit $500 <br />Variance $250 Comp Plan Amend. $500 <br />Vacation $400 Lot Split/Lot Line Adj. $50 <br />House Move $500 Annexation $500 plus legal expenses <br />Prelim Plat $500 + escrow EA W $500 plus $1,000 escrow <br />Site Plan $500 + escrow <br /> <br />Please see reverse side for escrow amounts required. <br /> <br />Total Amount Due: $ 'tL:>. OC) <br /> <br />Make Checks payable to City of Hastings. <br /> <br />L~(f. Nord, 9r~:SI<:l~h + <br />Applicant Name and Title - Please Print <br />OFFICIAL us~~}' I ~ ( . <br />File # 0tJ() ') -bU Rec'd By: -::::J lJ' II Z M ~'l <br />Fee Paid.: -.eLJ-{ D Receipt # <br /> <br />Please ensure that all copies of required documents are attached. See reverse side of this <br />ap catio~r information. . <br /> <br />J' ~ . 117 tt:JO~ /C1>be rr- ? Ii/;tlo ~-/7-()~ <br />plicant Signature Date Owner Signature <br /> <br />~/M <br /> <br />Owner Name - Please Print <br /> <br /> <br />Date <br /> <br />DateRec'd: <:6/tff! oS- <br />App. Complete <br /> <br />03/l8/05 <br />