Laserfiche WebLink
. Cit of UrQno ���� � <br /> Y <br /> . Var�a�ce ,Appli�atiori � � <br /> SfreetAddress: � Application# ����� � ��f <br /> � �� .2750 Kelley Parkway � �Date Received: n Z �i v j�l <br /> Orono, MN 55356 Amount P id: <br /> � Q St'aff . �� <br /> ��� . Main: 952-249-4600 Fee: � $600 <br /> - ,� ���'�,�y'�. �+ fax: 952-249-4616 Renewal: $300 <br /> '�`,�,� �� ��1� Gti Mailing Address: After-the-fact: $1,200 Double Fee <br /> � <br /> � P.O. Box 66 <br /> � �E�sH.o � Crystal Bay, MN 55323-0066 � � - � <br /> This application form must be completed in full. Applicant will be notified within 15 days as to the status of the <br /> application. Incomplete applications will not be ptaced on Planning Commission Agendas. <br /> PROPERTY INFORMATI�N: <br /> Site Address: ��b �V O l�T�f �/'�- ��''' • � D�L�'"� � � <br /> Property Identification Number (PIN): o�� -/��7-Z3 � �/�-D 0 �� <br /> (Attach legal description to application if not included on the survey.) . , , <br /> Date Property Acquired (month/year): .� z�o � ❑ Yes, I own the adjacent parcels. <br /> - Present use o f prope r�y: ❑ Residential ❑ Other � � <br /> Zoning District; , <br /> APPLICANT [NFORMATION:�(Complete le af names and marital status required for each interestecl party) � . ' <br /> Name: �1-e.�^o �c� �c� � � • . <br /> Phone (home): � - Phone (work): ��(�;� -S"� (� -- U27 ' <br /> Ad d re s s: y�'�� g �2'=`' /� i a����ti cc�.c��e.� �U ��['Z-�.- . <br /> Email: "� c,-e �����ro�(dGr c�,-,-� Fax: ��3 -- S3 � �`1� � 2- <br /> OVti1NER I�`dFORUTATl��41: (Complete legal names and marital status required for each interested party) ' <br /> Name: G►.����a .nc� ve%n�er�`� ��a LLC.,. � <br /> Phone (home): .Phone (work): ` <br /> Address: c��- ��a h� "�O I �G�7'LG� .�Lv�. Yyli r�n�.��/r.'v/r.� ,��%� --�3��0 <br /> Email: Fax: <br /> D���CRI9�TSC)l� OF °EQUEST: �� , � � . Estimated Project Cost: � / � �� <br /> Describe the request in detail (attach additiona( sheets if necessary): ���� � <br /> ' �`�� 1� � , �,,,,,,� ,� i�` `-`',�,,. �`'.,�-� G <br /> �.`�"`� �>. =' �•� ' ;�r_� <br /> ��`�.� • � � �- � <br /> �'�� �: . .. .� , � <br /> ._; .s;:,—� �, t <br /> •�; v��..}��`j —�. .T <br /> 7�vnu%."� �' �..i�:.. ��_ <br />