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WAY. 7.20041 4:45PM 352«-' >PE0S ENOO 952 993 176 li landscape c <br />_________Variance Application <br />NO. 502 ?. 71 02 <br />P'l'MkMIX <br />Straet Address: <br />2760 Kelley Parkway <br />Oranu, MN 66366 <br />Main: 652*249-4600 <br />fax: 952-249-q8l6 <br />Mdlling Address: . <br />P.O. Sox 66 <br />Crystal Bay, MN 553234066 <br />Application It OM’**' <br />Date Reeek/ed: /VifI opd^ <br />Amount Paid: /Amount Paid: <br />Staff: <br />Fee: $600 <br />Renewal: $300 <br />After-the-fact $1.200 Double Fes <br />This application form must be completed in full. AppTcanl will be notified within 15 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: /ooy ^ <br />Property Identification Number (PIN):/> //yz?/i. <br />(Attach legal daacrlptlon 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 />APPLICANT^FO^MATION: (Complate legal na.r.as and marital status required for osch Interested party) <br />Phone (homo): i/ii-_________Phone (worit)i <br />Addreae: •7/r?-rr/f///cL . a/aJ- ____________ <br />Email: o ^ i<o\j c/Z. _____________Fax: f y/ //t o ” <br />OWNER INFORMATIO^(Complete legal names a.-.d marital status required for each Intoresled oartvl <br />vfirtOrM-»» Autt-fc. t-e-c6.i-4 SPgAJC-gfg^_________■ l«hJiM5r ____ <br />Phone (home): <br />Addrei <br />Email; <br />^ il3tA<S^ . Phone (work): ^*^7. <br />Address; tooy DQUU^vO OK. ‘SO \Alri:zyi^r^ irr\A) <br />f)€Ak« 64',rrs Fax; <br />DESCRIPTION OF REQUEST; Estl.mated Project Cost: $ — <br />Describe the request in detail (attach additional sheets if necessary); <br />_______Vcjcj-i: caJ Aefft. ________________' <br />1 <br />1