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F <br />City of Orono 0^ A <br />I. <br />m <br />Street Address:Application # O <br />Date Received 4^2 2 -O^i2750 Kelley Parkway <br />Orono. MN 55356 Amount Paid; / '2-00 . c'o <br />Staff ; Ayf / f 1 iL <br />Main; 952-249-4600 Fee: S600 <br />fax; 952-249-4616 Renewal; $300 <br />Mailing Address: .After-the-fact; Si,200 Double Fee <br />:sho:Crystal Bay. MN 55323-0066 <br />t <br />This application form must be completed in full. App"cant v/ill 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: <br />lATION: I <br />Property Identification Number (PIN):OY- //'? --^3 - ^/-g - lY jOI <br />(Attach legal description to application if not included on the survey.) <br />Date Property Acquired (month/year): \\ j □ Yes, I own the adjacent parcels. <br />Present use of property: '^Residential □ Other ____________________________ <br />Zoning District. _________ <br />k:": <br />/APPLICAI^T INFORMATION: (Complete legal na.-es and marital status required for each interested party) ( <br />Name: plX/li Ul(i P'bc'/I■ IV\ . D <br />Phone (home): ^hl - __________ Phone (work): S-^) ~ I/.,00 <br />Address: 3Zx'/')» (ChU' WiN _____________ <br />Email: _____________' Fax: __________________ <br />OWNER INFORMATION: (Complete legal names c.'d marital status required for each interested party) <br />Name: ) ___________________________________ <br />Phone (home): <br />Address: <br />Email: <br />Phone (work): <br />Fax: <br />DESCRIPTION OF REQUEST: <br />Describe the re.quest in detail (attach additional sheets if necessary): <br />a./r''- <br />Estimated Project Cost. C <br />A J'lJ.a pT)fhl uJll f <br />) hi, C'UA / /h£icC*( ,ti <br />('^ii\UiC(Lhi . /i)^ S MUC ~h -/Tc'YIA <br />/rnLci ^>1' <br />i ~^fAi AU yO <br />0' " <br />I ^ ^ j\j -------1,^----------------------------------------------------------------------—- / i <br />K^'’l-(>Ahl Mm ACJrrALA^l fti-UL- '-Xhi Sfd)y U laJLS^ <br />p'a A J](iru ^ [J/qp-MM'n 'fhjiyte ^ {f^ AU\lo r-P <br />ja ia A* hjg. i//fUiAoiA^^‘) qyo\A/ ^4juui 'h-‘ oAi/i iAfk n<f <L U/fuiAoU/^'jn') nji^w (^njuut rz‘ <br />ca\ciYtJL^ f- i^'lu f^jzA Aj^c^dvc'^^^ <br />Qiyv (n.C(LAHAf . cfY^^>e/KgsVc-n,) lUc uuau^ h^: ^ <br />ad Vo m i/^hAo ^SiniUUl ^ 'fuJ' I't^Hrur^ 7^ fuAUxn^ <br />prtArtAjh cUJY^ /U/l l&Jo.fii'hyV ,