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KOU-21-2006 TUE 01 �14 PM AMERICAN EXPRESS FAX K0, G12671D586 P, 02 • <br /> �.�r� � <br /> ^��� � . • <br /> . ` . 1� � � <br /> � a � . <br /> . � G, <br /> O�'� <br /> Clty af +�r�ano <br /> Pre-Appl�catiar, �Ifeeting Form . <br /> (This fom, ie to be compteted by a City Planner durin our r�-a lication mestin�,'�) <br /> . StreetAdd�ss; MarlingAddress: .��r Offir,Q Usg�nlv� <br /> �76Q Keiley parkway R,O. BoX 6G City Planner. � T <br /> Orono, MN b6358 , Crystal Bay, MM 55��3•0098 Meetl�g Date�me; !�,/�q�Q[� �:op <br /> Main: 952 249-4600 ` RC Date: " <br /> F�x: �52-24S�B16 <br /> � What fs the purppse ofa pre-applica[fon meefing? <br /> Pre-applicatlon meetings aid the appllcant in preRaring a oomplete praposal, infQrm them of the <br /> procedures a�d requiremenls of the city code, and identify palieies or regulations that create <br /> opportunities or probl�ms fior the proposa�. � . <br /> PROPERTY INFORMAT dN' <br /> Site Address_ � <br /> . Property Ident(fica ion Number( I . : � � <br /> Zoning Dlstrict: Slze of Property_ <br /> DESCRIRTION O� R�QUEST: � � <br /> �Averag�Setback ❑ Side Ysrd 8etback ❑ Rear Yard Setback 0 F�ont Yerd Setbsck <br /> ;�Hardaove p Lat Coverage p Lot Area I7 Lct th <br /> `�1�Other- ► <br /> . . <br /> _ t — <br /> � Applica t' NARDSHIP: Applicant has rec�iv�d the Hardship Documentation Form, <br /> Initials �nderstands it as it hss been expiained to them, and is aware that it must <br /> be completed an� submitted I� cQnjunetivn with their formal v�riance <br /> appfica�io�, <br /> OTHER INFoRMATioN: <br /> "POea�e �ote: Your va nce pplic�t+on 'I N accepted without a pre-eppli�ation <br /> meetiing dur(ng whlch is for 'U be ca plet Cjty staff_ <br /> • . <br /> �4ppiicant Sigh�tu paEe: f t � <br /> � 4,� ,-y. �'`r��-�� p " i�-�.���,+� <br /> /F�.r ��1 `;F� 'w`Y"� (� r:d � �` f=x?�i <br /> �93:4�}�.s1.:7 ti..� .c;� 1� � `_};_ �s �.a� . <br /> ' - L�S�Yflf,.Mt'� •, � .♦'.j i. „ .. /^' .•?l !�f . <br /> 7 t <br /> E:��� ;r �� K^.y'3 . �".�.u�� „_ ._ <br /> �y'�.�.fr � <br />