Laserfiche WebLink
. . � � <br /> , . <br /> F . <br /> ' '� PC Exhibit A <br /> . ���y of ��o�,�► <br /> �a�iar�ce ��p�i�af��� <br /> StreetAddress: Application# � �( � 'j`5�� <br /> ,�`� �` 2750 Kelley,Parkway Date Received: i Z%1!v/D� <br /> TY '�1/� Orono, MN 55356 <br /> � ;� � Staff: <br /> ;. � Main: 952-249-4600 - ee: $ <br /> � ;`(`� �* fax: 952-249-4616 wal: $250 <br /> �,n � �tic4 MailingAddress: � After-the-fact: � $1,200 ble Fee <br /> i <br /> �`�kESHO�'�� P.O. Box 66 Escrow Fee: $6 / ,500 <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 applica�ions will not be placed on Planning Commissior� �lgen�fas. <br /> PROPERTY INFORMATION: <br /> Site Address: z s'���__Cl� ����w� <br /> Property Identification Number (PIN): <br /> Date Property Acquired (month/year): ❑ Yes, I own the adjacent parcefs. <br /> Zoning District: <br /> APPLICANT INFORMATJON: (Complet legal names and marital status required for each interested party) . . <br /> Name: - �" - ,-vh! � • <br /> Phone (home): '-{��S`_� Gh��pew�� Phone (work): 1 �z y 7 3- � 1 <br /> Complete Address: • . <br /> c�ty, State & ZIP ��;G�Pr�� � SS � <br /> Email: � � Fax: <br /> , • <br /> OWNER INFORMATI��: (Complete legal names and marital status required for each interested party) <br /> Name: <br /> Phone (home): Phone (work): <br /> Complete Address: <br /> City, State & ZIP <br /> Email: Fax: � <br /> DESCRIPTION OF REQUEST: � <br /> Describe the request in detail (attach additional sheeis if necessary}: <br /> �,�i ��C� � �.�c2/ 1 tr�� � ���l U �1rr�/ �,s�ni�, ��-�t`���r <br /> � <br /> r..�'�� <br /> �� , <br /> - �4- D E C ��7 2008 <br /> � CITY OF QROhI� � <br />