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. . � SU�NER HARRINGTON Fax:952-546-5566 Jan 12 2007 11:59 P. O1
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<br /> ;� �`ariance �►p�i i��tron� � �
<br /> . StreetAddress: • � Application# �`)��'" ���-�3Z
<br /> �y 2750 Keti2y Parkway Date Recelved: � 1 ��7
<br /> ��"�{� drono,MN 55356 ' Amount Paid: ' -�
<br /> (' Staff; i(./� �I/i�/1, tfi
<br /> Main: 952-249-4600 Fee: � B�0
<br /> �► ' fax: 952-249•4616 �2enewal: �30Q
<br /> MailingAddress; Aftet-the-fact: $1,200 Doubte Fee
<br /> tR��8�o44� P.O.Box 66 ' .
<br /> Crystal Bay, MN 56323-0066
<br /> This application f m must be completed in full. Applicar�t will be notified w(thin 15 days as to the;status of ttie
<br /> appl�cation. Inco plete appiicatlons wil) not I�e placed on Planning Commissicn Ager�das.
<br /> RR�PERTY IN ORMAYI�IN: .
<br /> S�ite Address:
<br /> Property (d�ntif �tion Number(PiN):
<br /> (Attach legal d cription to appli�ation if nat included on the survey.)
<br /> aate Property quired (manth/year): pyl� L7 Yes, i own the adjacent parce{s.
<br /> Present use of rope�ty: �� Residen4ial 0 Other � .
<br /> Zoning District: � .
<br /> � ,
<br /> pLIC�►(o6� I ORMATIOh�: (Complete legal names and marltal status required for each Int�rested:'•party)
<br /> �ame: '
<br /> Phone (hnrne): �1Z,..�g� _ _ � � Ph�ne (work): a�,��q�Q�_
<br /> Address:
<br /> Email; Fax; 4�-c���.� _-
<br /> � 9WN�R It�IFO MATfON: (Gomplete legal nah�tes and marita(statua required for each interested party)
<br /> fV�tl1@: � •
<br /> Phone (home}• �.h�g����n Phone (work�; 4���u,7_'t�t,��
<br /> Address: 4
<br /> Email; Fax: ac�,sK���,�r'"
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<br /> DESCRIPTIO flF REQUEST: Estimated Project Cost: ��
<br /> D�scribe the re uest in detail (a9tach additional sheets if necessary). ���,�T-/aa�,� �si����
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