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City of Orono <br />Variance Application <br />Street Address : <br />2750 Kelley Parkway <br />Orono, MN 55356 <br />Main : 952-249-4600 <br />fax : 952-249-4616 <br />Mailing Address : <br />P .O. Box 66 <br />Crystal Bay, MN 55323-0066 <br />Application # <br />Date Received: <br />Staff: <br />Fee: <br />Escrow# & $ <br />Permit Fee <br />Notes: <br />PC Exhibit A <br />Please complete . Applicant will be notified within 15 days as to the status of the application . <br />Incomplete applications will not be placed on Planning Commission Agenda. <br />SITE LOCATION: 570 Big Island, Orono MN, 55391 <br />DESCRPTION OF REQUEST: Installation of roof top mounted solar pv electric system <br />(attached additional sheets as necessary) <br />APPLICANT/ AGENT INFORMATION: <br />Applicant Name: Able Energy Co. ___ __;;;_:__ ________________________________ _ <br />Phone (Primary): (715)629-9335 ~~-=----,----,--------------------App Ii cant Email: sean@weknowsolar.com <br />Address: 7200 Hudson Blvd N City: Oakdale , MN ZIP : 55128 <br />Applicant is: Contractor Homeowner (Circle One) <br />PROPERTY OWNER INFORMATION: □ check here if property owner is same as applicant <br />Name: Tom Robb -------------------------------------- <br />Phone (Primary): ---'-'(6'-'1=2.L..:.)7-=-9-=-9--=3=2-=-78"------------------------------ <br />Mailing Address: 570 Big Island City: Orono MN ZIP: 55391 <br />Email : stisland570@yahoo.com <br />APPLICANT/AGENT AND/OR OWNER: <br />• Agree to provide all information required or requested by the Planning Department, <br />• Agree to pay additional fees (staff time not covered in the original fee payment) and/or consultant expenses incurred in <br />review of this application , and <br />• Certify that the information supplied is true and correct to the best of his/her knowledge . The applicant and owner <br />recognize that they are solely responsible for submitting a complete application being aware that upon failure to <br />do so, the staff has no alternative but to reject it until it is complete or to recommend the request for denial of the <br />request regardless of its potential merit. <br />• Acknowledge the Escrow Agreement is completed and signed. <br />• The Owner hereby acknowledges and agrees to this application and further authorizes reasonable entry onto the property <br />by City Staff, consultants, agents, Commission and Council Members for purposes of investigation and verification of this <br />request. <br />• Owner and/or Applicant acknowledge they must be present at all scheduled review meetings of the Planning <br />Commission and Council. If an applicant and/or owner is unable to attend a scheduled meeting , please make <br />arrangements to have an authorized representative attend in place of the applicant/owner and advise the City Planner <br />assigned to your project. <br />Applicant/ Agent Signature: ___ 4'""":,..,c-'----'~~='------Date: 06/23/2016 <br />Applicant/ Agent Signature : <br />Property Owner Signature: <br />Property Owner Signature: <br />--~----....,,_.,__ ________ Date: <br />_____,~;:...:::--1-L-...=s:=--=.£J-&"'-~.,.,c.1-~-Date: O 6 I 2 3 / 2 O 16 <br />REC lsL"~D ----------------------------- <br />Variance Application -May 2016 JUN 2 3 2016 <br />Page 2 <br />CIT'l OF ORONO # 3849 <br />;