Laserfiche WebLink
' . pC Exh�bit p` <br /> CtTY �JF QR�NO <br /> VARI�rNCE APPLICATIDN <br /> StreetAddness: Application# �Jr"3� <br /> �O�Q Or000, MN 55356 y Date Received: -� <br /> Staff: <br /> Main: 952-249-4600 Fes: $700 <br /> � ' fax: 952-249-461 fi Renewal: $350 <br /> ��l v �G1� Of j�ox 6fress: After-the-fact: $1,400 Double Fee <br /> ���sHo� Crystal Bay, MN 55323-OOfi6 Escrow Fee: $700/$2,500 <br /> This application form must be completed in #ull. Applicant will be notified within 15 days as to the status of the <br /> application. Incomplete applications wtll not be placed on Planning Commission Agendas. <br /> PRQPERTY INFORMATtON: <br /> Site Address: t Z 4 ��h � �d <br /> Property Identification Number{ !N): 24t1 gL3� �3000r <br /> Date Property Ac�uired (monthlyear): y��j ❑ Yes, I own the adjacent parcels. � - <br /> Zoning District: <br /> APPLiCANT INFQRMATION: (Complete tegal names and marital status required for each interested party) <br /> Name: 1�� /�,�,{�p�_ <br /> Phane: q�Z.- A�S� ��'� . � Altemate Phone: �rZ- z��--��,q.z, <br /> Complete Address: ���r S� S — <br /> City, State 8 ZIP • ��, �q3 " - _— <br /> Email: ���, {a r�yh.,�.iid �dw� Fax: 'SI" LS4'-83aD <br /> , — <br /> OWNER INFORMATtON: (Complete I ai names and marital status required for each interested party) <br /> Name: ,, t a � d <br /> Phone � F _ y _ Alte ate Phone: Z- Zt,p� �-33 <br /> Complete Address: t S � � <br /> City, State 8� ZIP r�K� � � <br /> Email: � u <br /> ��, Fax: <br /> DESCRIPTION OF REQUEST: <br /> Describe the �eques# in detail (attach additional sheets if necessary}: ,� �{�y� S L <br /> � t,� , f�rt ` � t� f •♦ 1n�t � <br /> � K . � <br /> � �t l4. .. {t, � <br /> _A R�� TI�,� I srn fr`� �C.=�,u...�L�'� � -�.�+���!-,��'i�t'� 1��� 4ti� - '�I�h fO+��S�, t:��c. <br /> _ �.hdf� r,.v► P.�urE�'e+nnU't��.��k�'�. . <br /> ED <br /> R 15 <br /> Padcet Last Updsfed.� January 2015 ^ � � � � ,�.) CIiY OF bRONA <br />