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CITY OF ORONO <br />VARIAN CE APPLICATION <br />Street Address: <br />2750 Kelley Parkway <br />Orono, MN 55356 <br />Appl icati on # <br />Date R eceived : <br />Staff : <br />P C Ex hi bit A <br />Main: 952-249-4600 <br />fax: 952-249-4616 <br />Mailing Address: <br />Fee: $700 Renewal-: ~$-,--3_5_0 _____ _ <br />P.O. Box 66 <br />Crystal Bay, MN 55323-0066 <br />After-t he-fact: $1,400 Double Fee <br />Escrow Fee: $700 / $2 ,500 <br />This application form must be completed in full. Applicant will be notified within 1 5 days as to the status of the <br />application. Incomplete applications will not be placed on Plan ning Com mission Agend as. <br />PROPERTY IN FORM ATION: <br />Site Address: 3<lIT ~~•'d<..-12-d. , On:>"'o., fvt N ~~'?le <br />Property Identification Numbir-rN): O -( I -2-3 -2-3 -OOC=t- <br />Date Property Acquired R:onth/year): O o Yes, I own the adjacent parcels. <br />Zoning District: C. -I A <br />Phone: --:---1..,..:....:=-=-,1-..L.Jr"----.--~.....__,=---.---:::;;.--Alternate Phone: 2-Cl -00 <br />Complete Address: <;'.f"y(. -t.. r ~w· f-l.-( 0 O <br />(Complete legal names and marital status required for eac h interested party) <br />~f h ~Co. UL -'c,,k ~ '°' vr <br />City, State & ZIP ~ <;{OY ~ N c;,:;3? ( <br />Email: M~...-~tt~c;,h!:M,raftct~18h . co n,-, Fax: ___,,__'Jc'-t;~~=-:?--==t<Q-=-_.__-=-=-6----- <br />OWNER INFORMATI ON : (Complete legal names and marital status required for each interested part ) <br />Name: J hn "B>. ~ She-vr i . ThiL~e.. Hu<.b~hd Ii. Wi t.... <br />Phone lot2.. lQlO-Alternate Phone: <br />Complete Address : 3$4{;" ~I' e--/2d.) <br />City, State & ZIP Ovon.o N Q;:3£:Jo <br />Email: jfuie.C( e., @ ~t:fC..ObS.'->--l:b' ""-{j , C-0\'\cl Fax: <br />DE SCRI PTION OF REQUEST: <br />Describe the request in detail (attach additional sheets if necessary): <br />Sf;-E:; Artls:C: ttF::::O <br />Packet Last Updated: January 2015 <br />Page 11 <br />RECEIVED <br />MAY ? n 2015 <br />CITY OF ORONO