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&nBtA(kkBS8: <br />2750 Kftlley Parkway <br />Orono, MN SS3S6 <br />r% <br />xzmm <br />Main: 952-240^00 <br />tax: 052-249-4616 <br />MaKkig A(Unss: . <br />P.O. Box 66 <br />Crystal Bay, MN 55323-0066 <br />Application# OS *3^^ <br />Date Received: dLj <br />Jb^ ^ <br />Staff: <br />Fee: <br />AnKHintPaid: ___ <br />S600 <br />Renewal: $300 <br />After-the-fact: $1,200 Double Fee <br />TWf appM rMk¥* form must be completed In fun. Applcant will be notified within 15 days as to the status of the <br />appNcaikin. Incomplete appllcatione will not be placed on Planning Commission Agendas. <br />PROPERTY INFORMATlpN: . <br />Site Address: ^ <br />Prooertv Identification Number (PIN): <D3L I i ^7^ 33 i OC <br />(Attach legal description to application if included on the survey.) <br />Date Property Acquired (month/year) <br />Present use of property: Pf Residential □ Other <br />District: I ft______ <br />C5lD Yes, I own the adjacent parcels. <br />Zoning District: <br />APPLICANT INFORMATION: (Complete legal nares and marital stabjs required for each interested party) <br />Name: iKIArrit^ aa*o AtCKgu.g' ^____________________ <br />Phone (home): ________Phone (work): (jf> 7 - 75 _____ <br />Address: /Z/r>g>Z- ___________ <br />Email: IDy^ctbumt r* Fax: *^C*3 <br />OWNER INFORMATION: (Complele iMal names sr.d marital status required for each interested party) <br />Name: rVtiTTftg*^ ^rvlr^/trt«a3^ rYViu^gccg U^Aatueo) <br />Phonafhome): W>/H^(»d / Phone (work): 7 <br />Addres^ Piij^oam auc. ntt/en ------------ <br />Email: 4? Fax: yo'i- V>7 -3 J 3V______ <br />DESCRIPTION OF REQUEST: <br />Describe the request in detaiiiattach additional sheets if necessary): <br />re>4-—ptgo> ---------------- <br />%\^:)oo.ooc <br />ii(Tf rs ^ <br />. esr! . ‘‘ . </ <br />, T <br />. W <br />> ■/" r ' I' ■0^-V.