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.� � PC Exhibit /� <br /> t- � <br /> _L��?uc.�-�v_T_; _ .__ _-- )Orono <br /> ��Sv�" � —a lication� � .. <br /> sbnewoo� u� �pp <br /> f� ��� Application# ��'"�,�� <br /> - 7� �Q�iW ��_��� DateReceived: �_. c�,.pR' <br /> VVI�Yl Y1Q�� 11 f(�'�N� Z(� ' staff: <br /> Fee: $600 <br /> . _ S��'1�4 S��Q,w(�0�C�W� Renewal: $250 <br /> ��Z_ r - - , • � After-the-fact: $1,200 Double Fee <br /> -____ 7 �qd �6 . Escrow Fee: $600/$2,500 . <br /> i . <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 applications will not be placed on Planning Commission Agendas. � <br /> PROPERTY INFORMATION: � <br /> Site Address: 3�z'1 �.,5�a c t«�t ��a• ,.�a � <br /> Pcoperty Identification Number (PIN): Z,- ��� - -t„-�y- 3 y- o o z z <br /> . Date Property Acquired (month/year): -SMNta 2oay ❑ Yes, I own the adjacent parcels. � <br /> Zoning District: L�� � <br /> APPLICANT INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: F«�����-� c, �Pt-r.�5 <br /> Phone (home): Phone (work): �(5 z- q 3�_ �yq o x Z i i <br /> Complete Address: 3�z-r c�.s�a c��c�.�. <br /> City, State &ZI P o�o•-�a M N s 5 3� � <br /> Email: ��Ptk«sC� �s�i P i . caM Fax: <br /> OWNER INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: i����—T. ��5 ... . . <br /> T!e <br /> Phone (home): Phone (work): <br /> Complete Address: �3,,,.- -��,..�",,i_=__._��►�,� . . <br /> City, State & ZIP � . <br /> Email: Fax: <br /> DESCRIPTION OF REQUEST: � <br /> Describe the request in detail (attach additional sheets if necessary): <br /> W<. �Ca /t hfTaF�C�C., w�r.t n �f'- twG <br /> , � 2t�V.(WR�/ hA ` tNNi <br /> '�' �i a K e'r 1 .J if"�� 2S n � �'o So o� 'Lo 1.1-�, <br /> l .nN[-t'� r.l C �.. n n! � .,t 1 Aw � <br /> � S;� +cz . '�F,� .i4�rHac� f.���r'�L �S Fe,r �7 '/ N..,.r� c��u <br /> �/1��.��-c. Q �/ t S n��s�Jt Z- A �t �.N�'-F:�1 ��J rF�.�`�, 2c►+r� aF <br /> � ov wl �C. CC �CU r.l ii� � <br /> \fAPi�AG �G ' <br /> VUi� ow �C)r.v�n N� _ _ 2 Nt� uf� r►Uti f-C �KL-1'j'C�V ' nF �Z76 ,� q� <br /> � 5 . ?������ Z=�i�• �� � � <br /> � ,���,, �,,� . . - 14 - <br /> . u_ .. �, , <br />