ZN 95-06 CITY OF HQPKINS
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ZONING APPLICATION
S .�RY FORM
— Application Number Z��ti� �
P .I .D .�:
Applicant ' s Name (Last , First) OKner (if other than applicant)
�„�i �`' �-�t�`i7 � P�1`.� -
Mailing Address (Street , City , State , Zip Code)
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I l�� � �i i � .. .��r ���� .����
Phone Number: (Day) (Evening)
Property Address
APPLICABLE CURRENT ZONING DISTRICT(S) TYPE OF ZONING REQUEST
[ ] R-1-A [ 7 R-2 � � B-1 [ ] Concept RevieW
[ ] R-1-B [ ] R-3 [ ] B-2 [ ] Conditional IIse Permit
[ ] R-1 -C [ ] R-� [ ] B-3 C ] Variance
[ ] R-1 -D [ ] R-5 � � I-1 [ 1 Zoning District Change
[� R-1 -E [ ] R-6 [ ] I-2 [ ] Subdivision Approval
[ ] Ordinance Amendme t �+}-
[X] 0 t he r� �,fYli� t1�rYl�'t't..�l
I hereby certiPy 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 �SIIMMARY
.�U '��J
[ ] Proper addendum to application Application received :;�'��
[ ] Detailed plans submitted
[ ] Written pro�eet description submitted Fee Paid:
Referred to City
PLANNING COMMISSION ACTION Engineer:
Approved : X without modifications Referred to City
[ ] with modifications Attorney
Denied [ ] Referred to Watershed
District
Date • �� �� �'� Date of Public
Hearing Notice
COUNCIL ACTION Date of Public
A '-`•oved: without modifications Hearing
[ ] with modifications
D�..ied : [ ]
Date : �� '� '��� RESOLUTION N0: