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PERMIT APPLICATION FORM <br />E OF` PERMIT(S) REQUESTED Building Permit DATE SUBMITTED <br />LI CANT Mateffy Engineering & Assoc., Inc. TELEPHONE NUMBER <br />PERTY OWNER Leslie H. Mateffy, Jr. TELEPHONE NUMBER <br />RESS OF SITE 655 Old Highway 8, New Brighton, MN 55112 <br />A OF PROPOSED STRUCTURE 2,160 Square Feet <br />5/ItY83 . <br />636-6166 <br />636-6166 <br />AL BUILDING AREA 4,320 Square Feet <br />A OF SITE 47,500 Square Feet <br />STING USE OF SITE <br />POSED USE OF SITE <br />ING CLASSIFICATION <br />Residential <br />Office Building w/Caretaker Facilities <br />B-3 <br />UIRED ATTACHMENTS FOR BUILDING PERMIT <br />Fourteen copies of site plan, landscape plan, floor plan, building elevations and <br />grading and drainage plans. <br />Current Certificate of Survey (conducted within the last 6 months with legal <br />description). <br />Completed copy of Rice Creek Watershed District Permit Application. <br />LICANTS FOR THE FOLLOWING PERMITS MUST ATTACH A LETTER ADDRESSING THE FOLLOWING <br />AR I"AN CE <br />Variance(s) Requested - $50.00 Fee <br />Standards For Variance <br />1. Undue Hardship <br />2. Unique Circumstance <br />Statement Of Reason For Variance <br />An abstractors certificate showing all property owners within 200 feet of subject <br />property. <br />ON-CONFORMING USE PERMIT <br />Existing Type IV Non-conformities. <br />No non-conforming use permit shall be granted unless one or more of the following , <br />conditions are met: <br />1. The total number of non-conformities is reduced; <br />2. The impact of any non-conformities upon adjacent premises is reduced to the <br />greatest practical extent; <br />3. The extent of any non-conformity is reduced where practical. <br />A statement of how the applicant will comply with the standards should be attached. <br />An abstractor's certificate showing names of all property owners within 200 feet of <br />the subject property. <br />Processing Fee - $50.00 <br />Signature Date <br />Acknowledged By: <br /> <br />