Laserfiche WebLink
.. ..._ __�i���� _r_�n� - -- --- —.- <br /> � � . . �'aria�n�� �►►ppl���tion � �.. .� : . � . <br /> Streef Address: . . Appiication# �� Q•- �3� � � <br /> ,�`�� 2750 Keliey Paricway � � � . �Date Received:� - � <br /> 3�" Orono, MN 55356 Amount Paid: i;p(S ,O� <br /> . � �° � � � . . St'aff: (�/�lv.c,(� � <br /> � <br /> �� � Main: 952-249-4600 . Fee: . $600 <br /> � ! � � �* fax: 952-249-46�6 <br /> ���� ' � �,,��,��' � . MailingAddress: . . � , . After he-fact��.30$1,200 Double Fee <br /> '�h'ESxog' . P.O. Box 66 . � <br /> Crystal Bay, MN 55323-0066 � � . • � <br /> This application :form .must. be completed in full. Applicant wiil be notified within 15 days�as to the �status of the - <br /> application: Incompiete applications will not be placed on Planning Commission�Agendas. � �� <br /> PROPERTY lNFORMAT ON:� � � � � �� � � � �� . � . <br /> Site Address: �a-1� � � �� - P,�?�t� p f1,0��� � � � � � ' <br /> r <br /> Property Identification Number (PIN): � � � � � � <br /> (Attach legal description to application if not included on the survey.) : .. <br /> Date Property Acquired (month/year): . . I� Yes, I own the adjacent parcels. � �� � � <br /> Present wse.of�property: ;�Residential , .� Other � � � - � � � � � �� � <br /> Zoning District: . � . . � - . . . . . . . . . � . � <br /> APPLICANT �IVFORMATION: {Complete legal names and marital status required for each interesfed party) � <br /> Name: G�Ce G�. "� C��; ./°� ,C . . ; . : . . .. � . . . . : .. <br /> Phone (home): �s(�- �fQ- U�-a S' � Phone (work)::. � (Z- 2 � �-.� �c�0 � `� <br /> Address: ' ('v . � Cc� a�lUi �v �Zj'�-Tt� �r U,�� � 'Le�L - Z5-0 - S�a � -.. <br /> Email:. � ax: �'!S� -- �7�- �.�'.S" <br /> OWNER INFORMATION: (Complete legal names and marifal status required for each interested party) � � <br /> Name: —.�s2�,�1-R� )f�1V i2�i - <br /> Phone (home): _ .�— —�z��.�,_� � . Phone (work):;. - �o o.�� ��5�7 -��- S . <br /> Address:� � a � �1 A�D �t.�t� � 1�-b � �(/ . � . . <br /> Emaii: ax: � � � � � � <br /> � c� <br /> DE�GRIPTIQN OF REQUEST. ��Estimated Project Cost: $ D� p� <br /> Describe the re uest in detail attach additional sheets if necessa y � <br /> q � . . rY)� rHC- �-��15�'rr. i�v��.: ���� <br /> �. '�C S/ ��� - U �i� : C c,c� .��. e- 'ch ' o <br /> -rctc �::��� �-��V N/�� vc c � �� t�l�9�2.��cr�u c--2 r;� ,�� i3 c r�c�?c�l�� <br /> � �r. +.'a�,,.'"*, <br /> ;��`;;..��, . �.;. cw.�:�� . <br /> � � i.., : , � <br /> ��,/''�t' �"`%j L��;`,' �Z �ti� �� c� ,- j• '( <br /> . �"�(�3.x.��� ,_.. ` �'aY �� . ,. .a� "r <br /> fi'� ,I� ^.^ y ,'' ..�.:i:;,4xi.� <br /> �LV .i „c'':�::�- � ' "�_::n rq ^ �, ..I <br /> /n��l r��;...,. .�r� i''` ..i .,,'4y <br /> _ `�"x\y;� Cf� `'''`'i x'� � <br /> V;::_'.:f%� �:�� J:-'v' <br /> �.yU,p�.:vJ� �7,;.4�'� � <br />