09-20-2004 Planning Packet - Laserfiche WebLink

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City of Orono Variance Application /O.V o\ street Address 2750 Keiley Parkway Orono MN 55356 Mam. 952-249-^600 fax- 952-249-4616 Matitng Address P O Box 66 Crystal Bay. MN 55323- Acpiication 4 Qt-( - Data Received p- i7-0-i Amount Pa d Staff Fee »(jp CO» oo M^C<.»vrC- S600 Rene-wal- S3C0 _____________ Afler-i^e-fact S1.20C Doude Fee :0€S Tnis app'icalon form must be ccrrpieted in fuH App cant wii: ce noti'iea within 15 days as to the status of tne aopi cat.on Incomplete applications will not be placed on Planning Commission Agendas. PROPERTY INFORMATION; . Site Address: ^Oo iTkfyirrvitfrUCc*^ f\\ye ._______________________________ Property Identification Number (PIN)- ________________________________________________ (Attach legal description to application if not inc'uded on the survey ) Date Property Acquired (month/year); Aua □ Yes. I cvm the adjacent parcels. Present use of property: O^esidentia! ^ □ 0:ner _____________________________________ Zoning District: _____________________ APPLICANT INFORMATION: (Como'ete legal r.£-es and manta: status required for each interested party)APPLICANT INFORMATION: (Como'ete legal na Name: (Yliilf DleCieKQnci Phene (home). Address. Ppm rvi4»^ri . Email: Phone (work): 95 2 ^o:5MQev5 Pr>. rV)xra<r Ain. <7533.:^ OWNER INFORMATION: (Comoiete legal names s'd mantal status requ.red for each interested party) Name fTieCJeHur\d Phone (home)^Phone (work): Address: 3 HQ rryVfqp . P r^ E qq , mn f75.S93 _____ Email: ^x: ’ ' DESCRIPTION OF REQUEST: Estimated Project Cost S llO.CCC)( Describe the request in detail (attach additional sheets if necessary): ___________________________ r>rt fva %n.nnri “tonnifin^i T^rrfiWi ylr>ttne K O REQUIRED SUBMITTALS: All of the following information must be submitteo by the application deadline date in order for your application to be processed. Pre-Application Meeting Form, completed by a City Planner 0^ Completed Application Form 0^ Completed Hardship Documentation Form Certifed Property Owners List - owners withm 150 ’ of the subject oroD^y labg!^ ar^ plat .map List, labels and map may te obtained from Hennepin County. DepartmenT^'-'^rarce. Government Center. A-603 300 South 6*'’ Street. Minneapolis, telephone 612-348-5910 > □ Original Certificate of Survey (signed by a licensed surveyor). meetiiTCL_a:]_^^_quirerents listed within this packet, including hardcover calculations Also provide cne'eopy 8 5" x 1 V or 11" X 17' for reproduction. — □ Completed hardcover calculation worksheets (as provided within the variance packet) — □ Topographic survey - including existing and proposed elevations. Provius ore copy 8 5 x11' or ir X 17' for reproduction — S? Sketches or plans of floor and elevation views (provide one copy 8 5" x 11' orir x 17') □ Additional items may be requested by City Staff depending on the scope of the project * APPLICANT'S ACKNOWLEDGEMENT: The applicant hereby agrees to provide all information required or requested by the Plarrrg Department, agrees to pay additional fees (staff time not covered m the original fee payment) and cr consultant expenses incurred in review of this application and certifies that the nformauon supplied is true and correct to the best of his/her knov;!edge The applicant recognizes that hc/she is solely responsible for submitting a complete application being aware that upon failure to do so. the staff has no alternative but to reject It until It Is complete or to recommend the request for denial of the request regardless of its potential merit. Applicant's Signature M Applicants Signature, CL/ 9. _ (T Date: Date: OWNER’S ACKNOWLEDGEMENT: The owner hereby acknowledges and agrees to this application and further auti rizes reasonab'e entry onto the properly by City Staff, consultants, agents. Commission & Council Members for purposes of investigation and verification of this request Owner's Signature ^ Jy\^r /. J Ovmer's Signature; / Date Date Applicant must have all submittals into the City offices 25 days before the Planning Comm.ss on Meeting Planning Commission Meetings are normally held on the third Monday of each month Applicants must be present at all scheduled review meetings of the Planning Commission and Council. If an applicant is unable to attend a scheduled meeting, please make arrangements to have an authorized representative attend in place of the applicant and advise the cTty Planner assigned to your project.