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. iar �u� avvv i-.. i., � ��n . . � � : � . . " . . . . � <br /> � ,. �._�KOV-2]�2006 TUE 01 . 14 PM AMERICAN EXPRESS FAK.NO, 6126710s�66 P. 03 <br /> � <br /> Ci�y �� �rono <br /> -- �/ar�a_ nce Appl�i� ca�ion � . <br /> ,� - <br /> stn�sr Aaaress,- ,app�ication# ��-.�.�� <br /> �„���0 2750 Kelley P�rkway Date Recelved: f2-!q-oC.v <br /> O�ono, MN 55356 Amount Pald: (�C�, Ui:� <br /> Staf�: i/�����, 7`�h.c�.d� <br /> Maln, 952-24s-4600 Fee: ��6D0 <br /> � fax: 952-248-4918 <br /> �► � MallingAddress: Renewal: �300 <br /> . � �.'�'� P.O. Box 66 After-the-fact; �1,20a Double�ee <br /> Cryatal Bay, MN 55323-0068 • <br /> 1'his application form must be taompleted in full. Applic.ent wlll be notified wlthln 15 days �s to tha statua of the <br /> appi�caeon. Incomplete apptications wi�l not be.placed an Planning Commission Aeendas. <br /> RROPER7Y INFORMaTION• �b <br /> �lte Address: <br /> F'roperty Identification Numb r(PIN); � <br /> (Attach Ie�a1 descrlptior�to application iF n incl ded o� the survey.) <br /> t�at� Propetty Acquired (month/year): ❑ Yes, f own the adj�cent parcets. � , <br /> Fresent use of property: �'Res'tdential ❑ O er <br /> �.vnl�g Distrlct; � <br /> ApPLICAN NFORMATION: (Comp(ete leqal ameB an � I�katus required for each interested party) <br /> Name: <br /> Phone (hn -- Phone twark): � <br /> Address: <br /> Ematl: :.�� Fax: <br /> OWNER INFOR T10N:�omplete tepal names and maritel stexue required for each inter�sted pa�ty� <br /> Name: � <br /> - Phone (home�: � Phane twork): <br /> Address: � <br /> EmaiJ: Fax: � <br /> � <br /> �ESCRIPTI�N OF R�4IUEST; Esfimated Project Ccst: $ �� �_.. <br /> Describe the request In detail (attach additlonal sheets if nacessary): <br /> 9 � <br /> 6 ��' J} — <br /> s:� , <br /> 'd � N <br /> `� / <br /> ;�' �ry� ,�:�•�, .,� . ... ' ^,c._.-:__-;� <br /> ���g.u::�;�: �;�r . .. ' ;;�`- ..w :;.;:,;�_,�;.�. <br /> ,�/`r�.�.�;ct.; — � ' , ' _ ' � ==:��;t� <br /> � � �"�:,.:,..` � � ...�.�� � ..,.. 1 t?.r=!��•1 <br />