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Case Number: ~' L . ~~ ~ _ ~ / <br />General Planning Application <br />Temporary Sales/Storage of Fireworks <br />ntver <br />Property Information ~~ ~ <br />Address: ems, ~\ 2 ~~-r ~ €7r~t ~- ~w Parcel Number: 75 - ~ - Oil C~ <br />Legal Description: (attach if necessary) <br />L c~ t- 'Z (J't ~.\ <br />Applicant Information <br />Name: ~t'lcaer\L ~_.~~_ ~,`r_i-.~ r~ . E-mail address: mr:~-~ c-~x~x:~~c.~x~t ~~~ r~~c>~ \~~ ~ c_~ <br />Address: t 1~~"1 ~~~~~~ ~-e c ~~ ~~-,! ~ rnr-~ G~.t ~ <br />Sweet .City State Zip Code <br />Address of Fireworks Sales: t ~ t i2 ~r-e ~c~ ~- ~-,t: -c-~-~ <br />Owner Information <br />Name: 2.~-~~-Y-Z~ ~c-~ E-mail Address:_ ~~~ t'~- <br />Address: ~2b \~~~ r, c; -,~ ~. ~ , ~ ~ rst \C \•:~~ ~.C:~l®t f~ <br />Sweet City State Zip Code <br />Phone (w): 'Zt2` ~-~ Fax: Z~2~ ~~~5`t~ Phone (h): <br />~~ <br />8C3~-~~tt- <br />"'\ 3 ~{ <br /> <br />~Y~~~' ~ tJ~r~~~f3Yr~c~l~ ~,~,~r~~ r~ <br />G/v~~~r~ <br />~ I ~l ~~,vn~Y <br />Signa*_ure: Date: _~, <br />~e~cription of Pr€~~ect , l~~k'YI~C ~~ <br />Please describe your project/reason for your request If necessary, attach a written narrative. ~ ~~ , <br />~r-c._~GR~\GS <br />Site Plan <br />A site pla=y of the proposed location and layout of the tern:~ora_~ s=~ <t,are any? its sz~}-~~=?r -_ Js ~-~-,-- <br />bi submitted. - --- - <br />~, Site Plan completed and attached to applicat_+on. <br />Agreement to Pa~C ~ogt~ of I'~evicw: <br />It is the ~o??cy= of the City of Elk. River to require applicants for land use approvals and <br />__ _,__~"c tr5 rY~t a~-~.~sr~ ~~e rtt-sT fC~r r•~gtS 4~ ....`w'ed 1)y the Cit}' in reE~eWu`I~ anti aC~si~ ~ipUn <br />--'_~. - --_ - .. ~'~ <` 't«« r.....- •-- ~ 1-;~a 3~- ~ - .~E2Y'F~F•°''R oft 3~ ~i;:v;_ 1,~t~ ; c;gt-w ;.,r?,,.iF. ~~t ~f <br />L J _.. <br />Dates of Fireworks Sales: ~~r~~ ~ ~~ ~` ~? [`~ ~\ - ,.,. ~ 3 ~~' 2r~ i 1 <br />