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h . . . ���� � <br /> � ,� , . . <br /> ������ � City �f C�rQno � . <br /> . � . �'arianc� ,�4ppli�a�rcan . � : . � <br /> Street Address: � . Application# 7�-��2�a <br /> � � .�,` �2750 Kelley Parkway �Date Received: � c> Q'? <br /> '���� Orono, MN 55356 Amount Paid: j � .�- <br /> Q �� Q Staff: ��� <br /> �''�� � Main: 952-249-4600 Fee: 600 <br /> +� i� �h� � � fax: 952-249-46�6 Renewal: $300 <br /> �`�,c, r t� Gti`�` MailingAddress: After-the-fact: $�,200 Double Fee <br /> �`�-�Esrxog'� P.O. Box 66 • ' . <br /> 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 app(icafions wifl nofi be placed on Planning Commission Agenclas. <br /> � PROPERTY [NFORMATION: ' ' <br /> __. . �1�� �'1��. �c�.�L�. . a�-o�� ��a��.�.. . . <br /> Site Address: . <br /> Property Identification Number (PIN): :.- 2n .= 11"l ��.�.�-��1-3-o��q <br /> (Attach legal description to application�if not included on the survey.) � . � <br /> Date Property Acquired (monthlyear);�--=�1-�-�-❑ Yes, 1 own the adjacenr parcels. <br /> Present use of property: � Residential ❑ Other -�� � � � � � <br /> Zoning District: ��� L1�- ° �G . <br /> APPLICP.NT 1NFORM4TION: (Complete legal names and marital status required for each interested party) , . ' <br /> . . _ . . <br /> ... . _ . .. <br /> Name: �-- . .I l-c�. _ I�I �_ �1'I°-k��f��� . . . �.�.::: _ ... . ....._. . .. .. . .. .. <br /> Phone (home): � °I�✓�P �4-"11 ° �-550 . � Phone (work): •'d�2 ^ .��2.- '�2-'��-- <br /> .:._�I� �aa cA�'e� �It�l�.�. '� q I . .. . . . .. . : . . <br /> Address: � . �'a.� �. � <br /> Email: . vr� �1' C� °�r- �v��l�i .�c�t� ,coM, � Fax: .�►2 - �a�„y'�,�- 1�1� <br /> OWNER l�1FOF2fUIQ►TIC�N: (Complete legal names and marital status required for each interested party) <br /> Name:_ Mll...b 4-ItT.H�aMti°�ca�-! .1�,ti1r� . �?.J�'��..�(�.,..� , '�'1-1�1�h(�a�4... � I�A�?f�1:�.1'� <br /> � Phone (home):�: �. _����:..�. !�t��y�=- � Phone (work): : � ��� �� �� � . <br /> Address:.. ... __. .- . ;i,.. . .. .. .. -. . „ � <br /> Email: _ . . � � _� . . Fax: 41 . <br /> .. . <br /> ��SCRIPTIOf� OF P.EQU�S'T: Estimated Project,Cost; �� - � - �-� -- � � � �� - <br /> Describe the request in detail (attach additional sheets if necessary); <br /> �co�I���t1a�-�l�l. ��� I�G:�l�h►�' Fo►�-' !� Cac���'.�T" aPl�t��'��:��-r . . <br />, .� � VA(�Ih►�.I�.l=, I�JI,:. To �4h-4. �Y�IS�'It-�G. til�N•�pr.��o1�1t�1� `l�1�It�1�I�JN� �-.��I' .WIo°I°'t�°{ . <br /> �m A(�I�I�d�l;�. �o(?- coh-15-C���"T1coI•�I oN TbF' a� /4�.1 .EY.a�-CI�•.1�_.SI�;(/�'f�-L7. st�{� <br /> . .�.�.I��.a:�.t�-1 l=_l�T . .. _ � . <br /> . ... . . . <br /> ----e�11?�►21/�1���..'�. �o_I?-...:�-1i._�?E�'I.r.-1.1'r_io M..dF.."TN�..�?��cx^�t=L�__T_aW.L=1�-:(�:,Dt�c?h.l�._.p.�a -R:1�.. ..._ ._.. . <br /> -��H/�al...F...s7o.1�`(�i_.�� ,G�,f...� P.l..l�'a4�c�. :2:: /? �'�-,'(' f���4���.h-t�C � � <br /> � `� <br /> , . � �s.3f ..'cP't�.� f�`"�I'' � • <br /> � '" ts'�1 d�, ,� �� <br /> 1Gr�- ���=��rZ�. � � . �� :�a ��� ,.1� �.� � !. ..� �� � <br /> � �--�l�P-2c� T ��t�1� e.o. � �,;`.� .� f� �', � � <br /> ... �� �. <br /> � �:..� �,� i� �� ��.�.�� ��- �� � <br /> � . �.��:�-.:� � � - <br /> �-.: �c'rco��� �� �t"i:; �oo � <br /> . , . . � � ' . .r�r5'n . C(:`=�7 �.CJ1-'�/� �4'-I �=!'1 •��s.[ �5Z- �'-f�.)-�.'�.GI.�Z'7 <br />