|
v� �y v� vrvr�o
<br /> � Variance Application
<br /> , Street Address: Application # �5 --3 Jy 3
<br /> � Q� 2750 Keiley Parkway Date Received: 7 �j �
<br /> Orono, MN 55356 Amount Paid: (�
<br /> O �� � Staff:
<br /> t Main: 952-249-4600 Fee: �&00
<br /> '� � '�?'� � fax: 952-249-4616 Renewal_ $300
<br /> �� " ��`� Mailing Address: ,
<br /> �9kESH�g'� P.O. Box 66 After-the-fact: $1,200 Double Fee
<br /> Crystal Bay, MN 5532�066
<br /> This application form must be completed in full. ApF:icant wil! be notified within 15 days as to the status of the
<br /> appiication. Incomplete applications will not be placed on Planning Commission Agendas.
<br /> PROPERTY INFORMATI,ON:- ,
<br /> Site Address: ���-/� �,,-�,�,�-�,_,,s
<br /> Property Identification Number (PIN). �..�//�r-��_��_ ,_.Q�-,��
<br /> (Attach legal description to application if not ncluded on the survey.) �
<br /> Date Property Acquired (mont /year): �j �.s' ❑ Yes, I own the adjacent parcels.
<br /> Present use of pro ert�: , CC��esidential ❑ O�her
<br /> Zoning District: ������,./ _
<br /> APPLtC��IT IN`�pRJVI���oJ�legal na,:.es a d marital�tatus
<br /> Name:� � ��-
<br /> ' �quired for each ir� erested part r
<br /> Phone home : `� �� .�r'""'`�-.�.-�-'��e..��.��' `.-
<br /> . , - . , �- .
<br /> ( ) 9S`z— '`- .- c i SG '" Phone (w f - .~ s—a. -ypi. .� �5
<br /> Address: y/,�s�'�,: � /� �;� �y J
<br /> � _. - - l�-rl�f.f�-�..� �.�.n-�---P /�v-z`'����?� ���rJ �;/ , �" ���c
<br /> Email: � �� � �
<br /> �
<br /> �. r Fax: �s� - h'�/�%Z,7
<br /> OWNER I�RMATfON: (Complete legal names a:�d marital status required for each interested party)
<br /> Name: ��,�
<br /> Phone (home): Phone (work):
<br /> Address:
<br /> Email:
<br /> Fax:
<br /> DESCRIPTION OF REQUEST: - t�
<br /> Estimated Project Cost: $ /G�>�i'�.�,`��
<br /> D, scribe the request in detail (attach�.�additional s�tieets if nece a J '
<br /> /� � , , rY); , , ,
<br /> cs� �;- ,
<br /> '�' � C�--' �C"%2���G`"�G'�2�� .." .��c.- ,. � -'
<br /> /. ., .-�/.� �--Z.�c:-�..a:,l�� �:�, .
<br /> r�
<br /> ' ---%'�Z=c=-c.... .
<br /> � , � �
<br /> � � � -� ,-, ,;
<br /> , ,c�..._-- ��1 Z.���° ,�!�2'c.-�.�.,� ,� ,�� � ..
<br /> /�.. / :... 4��',/
<br /> ���' �.6s�--��'�- - C�' .��-��Z C'L-c..�— ' � c�..� / , _`�` ,--�
<br /> ,,%,�/, /�� / - 'r �� 1/ � ' i> � l��; �.-Z`
<br /> 2t/liliE' �ivt-'� i': l�-E�SCti'a•��-` �,�iL�-- ,�., �ZC-�� � -' �
<br /> �- C`i:�� __- J7.r,�(?! G:
<br /> ' ' _ ,/ C�
<br /> �'�-7%G ����� � �� �-- ��.1.,�._ 4-c�°. � ���-� �," '
<br /> � �(':� ��-2--..
<br /> �f 2� --'', .,_-_.�c�,.-z_.- .�.�-��'e,.% c�-C�c�L.'s
<br /> i
<br /> �
<br /> �v CI-��.�-a.—a�--� �,
<br /> �'� �.� -� i
<br /> .+y � `� �: ';
<br /> �-'�.r, ,,� .� �� �.�a"
<br /> \ +f'..:� :� � � 'qy . .
<br /> Y � •') 1
<br /> :Y � ��' .n��' ( �.
<br />
|