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, . ' . - . ' • . , ^ <br /> �� <br /> . . _ City of �r�n�o � � : - <br /> � Va��ai��n ce' A�p l i�at i o n .� . , <br /> Sfreef Address: . ApPlication# ��J�=��� �� <br /> � �� . 2750 Kelley Parkway� �Date Received: � <br /> Orono, MN 55356 , Amount Paid: �'(��-� - . <br /> � Sfaff: �7` <br /> : �«��°� � Main: 952-249-4600 . � ,' � . � <br /> Fee: $600 <br /> � '��`;,�� ti fax: 952-249-4616 RenewaL $300 ' <br />. �`��� �'y��, �ti MailingAddress• ` � _ After-the-fact: $1;200 Doubie Fee <br /> .y 1� .g,'� P.O. Box 66 � � � <br /> �EsHO C�ystal Bay, MN 55323-0066 � � <br /> This applicafion fo.rm must be completed in fulL Applicant will be notified within 15 days as to the status of the <br /> �application. Incomplete app(ications wi(( not be p(aced on Planning Commission Agendas. � . <br /> ' PROPERTY INFORM A 10 ,. � � <br /> Site Address � I . G'� � - ,� ° GC' d��IL'� , �� SS�5 C� <br /> � Property Identification Number (PIN): �'�'- ���"7�33C� p�rX - . � <br /> (Attach legal description to application if no included �n the survey.) - � . � , <br /> Date Property Acquired�(manth/year): . � �'(� ❑ Yes, I own fhe adjacent parcels. <br /> � Preserit use of property: �[Residential ❑ Other� . . <br /> �oning District: L � -- ) � .". : <br /> � . . . _ <br /> APPLlCANT 1NFORMATION: (Complete legaf names and marital status required for each interested party) <br /> Name: (�� ��l� �► f� f�'( Cr� . <br /> Phone (home): �S f —��'(��—�'�-r�S Phone (work)� 1�I�r�--�� —�3�(7 � <br />, Address: � o � � ., : .Z . . . - <br /> Email: ���i�l�,v�Vt�C�Uc:.. (� Yto�'�nu_i f . "GOt� �. Fax: f,. "— �C �i� °-- S' �� � <br /> OWNER 1NFORM/�l'EON: (Complete legal names and marital status required for each interested party) <br /> Name: �C—.'/U� " v� � --:-� - <br /> Phone (home): la��—�--�{S^°-- 1 C� Phone work): j—8"U(?�— Cg7�� �3�-� . . <br /> Address: ��( �� �(��2sr�� /I�'E � �cr� �po S �� � � �p <br /> . Email: ��I�l�- l� r,LGO�. G � Fax: •f—S' °— ��E�°— (��2. <br /> ; " . :� <br /> D�SCRlPTIOiV OF.RE(�UEST: � Estimafied Project Cost: $ � , Q� �� <br /> Describe the�request in c�etail (attach additio�al sheets if necessary): �/'� ,,���,1�- �-� <br /> �(kt r�,��- �Z'l�i.Cr ��f �� �t/��— ! /�Y G`�L.�r �S� ���� <br /> ?' _ _ ! 1 � (1� <br /> �' � , . .�� � <br /> � <br /> �. f.. <br /> � . • . . - • . _ _ •� .. �. �r . . . . . . <br />� � . � � , .. _ . . , ; r�^r.-,.��.;. . ' �� . ��. �-^, . . �.f 1 �� ' � . " . <br /> . � . . . �`.-� �• ,.i t t'-' _.� . <br /> . . . . . .��, �:i � . f_ � , . <br /> . ' . _ ,. . . � ' �?� . ' .-.� � . � . .. � . ' � . <br /> '�.. � i 1 <br /> . �`k.:,—�s��� ��-"��b • `�_��'' '\`;�. <br />