Laserfiche WebLink
Variance Application <br />street Address: <br />2750 Kelley Parkway <br />OrorK), MN 55356 <br />Main; 952-249-4600 <br />fax: 952-249-4616 <br />Meiling Address: . <br />P.O. Box 66 <br />Crystal Bay, MN 55323-0066 <br />Application # <br />Date Received: <br />Amount Paid: <br />Staff: jA/iUtf______ <br />Fee:3600 <br />Renewal: $300 <br />After-the-fact; $1,200 Double Fee <br />This application form must be completed in full. App leant will be notified within IS days as to the status of the <br />application. Incomplete applications will not be placed on Planning Commission Agendas. <br />PROPERTY INFORMATION: <br />Site Address: 3 / HS No/zji^ n>mLt> <br />Property Identification Number (PIN): ________________________________ <br />(Attach legal description to application if not included on the survey.) <br />Date Property Acquired (month/year): ______□ Yes, I own the adjacent parcels <br />Present use of property: Residential □ Other _______________________ <br />Zoning District: <br />J. <br />APPLICANT INFORMATION: (Complete legal nares and marital status required for each interested party) <br />Name: <br />Phone (home) <br />i i M a I <br />; J3J^—_____Phone (work): ^fTej/ <br />TT?--' a>7? <br />OWNER INFORMATION: (Complete legal names ar.d marital status required for each interested party) <br />Name: ^ <br />Phone (home): 2.- ^3 Phone (work): I <br />Address: /S9oc> Z^/yjA/^ /)j^. <br />Email: '■*Fax: <br />DESCRIPTION OF REQUEST: Estimated Project Cost $ <br />Describe the request in detail (attach additional sheets if necessary): <br />^Tfc U4>rt/lge^ 7^ f3E^ NctAjOMt^ 4 NFxu <br />fbcTPAlA/T ANO LrirJ^Ti^ c>H\ UFT -f7> CdrNSrfjyJtyr^E. D <br />«4L /lAj. gy/l&r tos-. a lA^ F^tAT <br />A ^e:T t^H/NO A P/yY^ rjuJ/of-/ <br />IfJCAfiO ' NAT j^A^U' <br />WL.. 6) A <br />ry <br />• f:i <br />4.. <br />It XU.. 4.44 <br />>• ^ <br />ti—..'-.irf <br />i