STATE OF MINNESOTA ) COUNTY OF STEARNS ) TOWN OF LESAUK ) PETITION FOR REZONING To the Clerk of said Town of LeSauk, I (We), the undersigned petitioner, do hereby petition the Town Board of the Town of LeSauk, County of Stearns, State of Minnesota, to conduct a public hearing concern the: REZONING of the herein described parcel of property from ______________________to_______________________, for the purpose of: ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ The applicant hereby agrees that in case such REQUEST is granted to comply with all regulations, restrictions and requirements included in any ordinance of the Town of LeSauk. _____________________________________________ Signature of Petitioner _____________________________________________ Signature of Spouse of Petitioner _____________________________________________ Current address of Petitioner _______________________________ Phone number of Petitioner _______________________________ Date of Petition LEGAL DESCRIPTION OF PROPERTY INVOLVED IN THE APPLICATION: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Attach diagram drawn to scale, showing location of property involved in application DATE SET FOR PUBLIC HEARING: The Clerk of the Township of LeSauk having received a Petition for Rezoning from: _________________________________________________________________________________ do hereby set _______day of _____________________________, 20__________, as the date for said hearing, that such date will be published in the St. Cloud Daily Times Ten (10) days prior to the hearing date. _____________________________________ Clerk, LeSauk Township RESULTS OF HEARING The Town Board of the Town of LeSauk has met on the _______day of________________ 20______, for the for the purpose of consideration of the petition for rezoning from: _________________________________________________________________________________ By motion it is the recommendation of the Town Board of LeSauk that said petition be ____________________________, the reason(s) being as follows: (approved / denied) _________________________________________________________________________________ _________________________________________________________________________________ and that said action will be recorded in the minutes of the regular monthly Board meeting held on the _____day of____________________________, 20______. Subscribed before me this _____day of _______________________________, 20_______. _____________________________________________ Clerk, LeSauk Township APPROVED BY ORDER OF TOWN BOARD: _____________________________________ CHAIRMAN