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ZN 95-05 CITY OF HOPKINS '� ZONING APPLICATION 5.,.,MARY FORM Application Number �Z�����j J P .I .D .#: Applicant ' s Name (Last , First) Owner (if other than applicant) � -I�- �lc,�nC l �.; Mailing Address (Street , City , State , Zip Code) I �'i(� �t 1`��" ��t I '��'_� ��'1��t'`'1. Phone Number: (Day) (Evening) Property Address APPLICABLE CURRENT ZONING DISTRICT(S) TYPE OF ZONING REQUEST [ ] R-1-A [ ] R-2 [ ] B-1 [ ] Coneept Review L ] R-1-B [ ] R-3 L l B-2 L ] Conditional Use Permit [ ] R-1 -C [ ] R-4 [ ] B-3 [ ] Varianee [ ] R-1 -D [ ] R-5 [ ] I-1 [ ] Zoning District Change �� R-1 -E [ ] R-6 [ ] I-2 [ ] Subdivision Approval / [>C] Ordinance Amendment � (�,.���" 1.���. [ ] Other I hereby certify with my signature that all data contained herein as well as all supporting data are true and correct to the best of my knowledge : Applicants Signature Date Owners Signature Date ADMINISTRATIVE DATA SUMMARY [ ] Proper addendum to application Application received :c� '�U '�'�S [ ] Detailed plans submitted ( ] Written project description submitted Fee Paid : Referred to City PLANNING COMMISSION ACTION Engineer: Approved : without modifications ReFerred to City [ ] with modifications Attorney Denied [ ] Referred to Watershed II District Date : `7 -��� "�'�CJ Date of Public Hearing Notice 3 � �� -���� � COUNCIL ACTION Date of Public � ��s _��� roved : 'x without modifications Hearing [ ] with modifications L�nied : [ ] r 4,, ., 2�� Date : � ����I JI �F' ��'���� RESOLUTION N0: C�� - � I