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reo cc �o ��. �TO ���. <br /> ' ���� �� ����� <br /> � � . - V�r�an�� ,�p�li��ti�� <br /> Street Address: Applicaklon# d��` 3 ►6�3 <br /> / 2750 Kelley Parkway Date Received; �. �-t� � <br /> � '� Orono,M(V 55356 Amount Paid: � ••�� <br /> Staff: t��'n+ -..� - <br /> ( � �'�� � Main: 952-249-460D Fee: $60� <br /> � `' �>�" a, fax: 952-249-46�6 Renewal: $25D <br /> �'�,� + ^� G�.`�' MailingAddress: After-the-fact; $1,200 Dauble Fee <br /> tq��g�,�„� p.0. Box B6 <br /> Crystal eay, MN 55323-0�66 , <br /> This applicatlon form must be completed ln full. Applicant will be notlfled wiihin 15 days es to the status of the <br /> appitcatton. Encomplete applications wiil not b� placed on Planning C�mmission Agendas. <br /> PROPERTY INFURMATION. �,� ��� <br /> Site Address: � �3� C��r �)��� �r'°'ti'o <br /> Prope�fy Identification Number ( IN): -�1�7"�3-33-�DI�/S <br /> (Attach legal description ta applicatian if not included on the survey.) <br /> � Oate Property Acquired (monthlyear): -S 1���f [7 Yes, I own the adjacent parcels. <br /> Present use of property: l&'Residential � QtP�er <br /> Zoning District: <br /> APPL(CANT 1NFORMATION: Complete legal names and marital status required For each interested perty) <br /> Name: ��e k v. � S'p�r��— ' . <br /> Phone {horne): - OS��i3��d Phone (wark): 95�-- �7 ��� � � <br /> Address: !`� +� .G�- `�atc City: v.,.-o zip: �3d� <br /> Email: �a�►� v�e t�-b,�� �o� Fax: S1- �Y -�l37 <br /> OWNER INF�RMATION' (Com�lete lagal narnes and maritai status required far each interested party) <br /> Name; C��-e��..� � �'a L�'�. . . <br /> Phone (hame): �ii2-30{�-q � Phone (work): qr�- �76 -�0�7'S' <br /> Address: ('•f 3 a h�+-� a�c. City; yv-n.0 Zip: �S3� <br /> � Email: cn r'� he awn. L�. Fax: `�S2- �'S`��8�'37 _ � <br /> _�... <br /> DESCRIPTION OF REQLIEST: Estimated ProJect Cost; $ <br /> � Describe the request.in detail (attach additional sheets if necessary): . •'"�_ �-1-- <br /> `�'(-f`v �r'� �2.�-' S � �-�• �--` � ('��3 L__ , k � <br /> ���a �� •� 1-�a�%�n�n�;-/� S,�f� . . <br /> �,err.c,s..�+Ya� �. <br /> f'�'�.� c�+� {(�i�;� Yrt <br /> �, ,gf'�.-� ���� �A',� �n� m��f ��� <br /> rn�Y+tiC+sx F�' i::.� \i':�,+�r„�'r, �e��, <br /> a: tt.�- 4 .?`v.. r",`,•�.�,� r.",x�1 <br /> �L��ir=-'� _ v:7�'�1i�:. SS {.!� � �ji? . <br /> l�ix 1>�: �:i� ' ",y,e' <br />