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L <br />f/iV ’ r/M 4-45?V 952=‘SC-?EDS E03 7=2 5*;3 i75 ‘i J»Kascfi=^ llc C=:2 ?. 22 «2 <br />SfoB»f Addrta. <br />276C <oi:ey Pifiwtty <br />Oxro. VN S5358 <br />Ap:iicat.=? # 0^*^ 'hiyhO <br />Va:-. 652-S48-46C0 <br />•vc 952-249-4619 <br />Mtfir.g Addrtir. <br />P.Q. Box 8« <br />Crystal Bay. MM 5S323^:c;6 <br />Di’^ Baca.vec <br />ArauntP&d: __ <br />Sta'f; V L'^ <br />Fee: <br />*nrii'i: <br />.'y <br />see: <br />Ri-rAffll: <br />A*er-^^e-*a:t S* S:; Zz.z tT^TT <br />Ti$ ip?icr»ci fern nusi be cenceted in fj'i. Ac;’oa.nl w.: be nx'-e *5 d?>» as to d-c s*.at;.i cf r.e <br />appitcaton. Incomplote applications wilt not be placed on Planning Commission Agendas. <br />PROPERTY INFORMATION: <br />Site Address: /opy w\/»evL- ^ <br />Property identifeat.on Number (PiN):/C/f I'SZ^^-'r <br />(Attacb :egBi dsscrioion to app! cation if rotirc-.:ced on the survey.) <br />Date Property Acquired (montn/year); M / %-2, □ Yes. I owi the adjacent parceii. <br />Present use of property: j^Residentiei <br />Zoning District: ________________ <br />’ □ Otrer <br />APPLICANT INFORMATION: tCcTp;s» iKti raTai and ma^'al staajs resjlred fe* eacn intt'ested aany) <br />Name: ________________ <br />Phono (homo); <br />Address: hr*' ■ cl <br />Eriii; <br />-r 4 /A <br />■J>, yvA- <br />__Phone (work). <br />/»>/v- -%y yi <br />^''V V, <br />CT / * *v ^//i <br />OWNER INFORMATION^;Cof-^'elB pb*-.b5 era rai'tit status rsq Jred fo' each Irtsres’.a: car.y: <br />•~rv Autce- uSL>t^»-4 SPd/Oeg/g-*_________(. S CexJC,' Irtllir ________ <br />Phone (homo): <br />Address’ tooy __________ <br />Emai.: ^Arb.m'.cerr^/‘K« Cj^c ^ <br />R S7l I mx^ Phono (work); R *^Z '^'h-r <br />Oft. so lA/.'S^m/J jSS <br />OU5^ <br />DESCRIPTION OF REQUEST; Est mated P'oject Cost <br />Dessr be the request In detail (ettecn eddlticna sheets 'f necessary); __________ <br />VruifT <br />S /J-V - — <br />#3030 1