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PC Exhibit A <br /> City of Qrono <br /> �rdinance Amendment 1 Zone Change Application <br /> St�aet Address: p��p�i# �fio�� <br /> -Q �JE�� 2750 Kelley Parkway <br /> �'.`r'`Y Orono.MN Sb366 DA�@ Reoenred ` <br /> Main: 952-249�4800 <br /> � /'�� <br /> fex 952-249-4818 l�E�B <br /> .� Marbng Addnass.� Es�oiAr�8�$ <br /> 'S•�, �� P.O.Sox 66 <br /> G CrysWl Bay�MN 58323-0066 PAA7�I�F�B <br /> r�kFS H��� � <br /> Please comp{ete. Applicant will be notified within 15 days as to the status of the application. <br /> Incomplete appllcat�ons will not be placed on Planning Commissian Agendas. <br /> SITE LOCATION: 3za5 wayzeta eivd w <br /> APPLICANT 1 AGENT IMFORMATION: <br /> NS[118: Lekewest,LLC/Curt Fretham <br /> Phone(Prlmary): s52-s3as000 <br /> Emsil Address: curtf(�h�restdev.c�m <br /> Msiling Address: 14525 Highway 7,Sulte 265 City:Minnetonka Z1P: 55345 <br /> PROPERTY OWNER INFORIAATION: o chedc here if property owner is seme as appllcarit <br /> Name: Lakewest,LLC!Curt Fretham <br /> Phone(Primary): ssz-ssas000 <br /> Email Address: Curtr��wastdev.00m <br /> Mailing Address: 14525 Highway 7, Suite 265 City:Mlrtnetonka ZIP: 55345 <br /> APPLICANT/AGENT ANDlOR OINNER: <br /> • AAree to provfde all infartnation nequired or r�eguested by the Planning Department, <br /> • Agnee to pay addi�onal fees (staff time not cavered In the original fee payment) and/or consultant e�enses Incuried in <br /> review of this application,and <br /> • Cectify that the information supplled�S true and corted to the besi of hisJher knowledge. The appllcarrt/agent and property <br /> owner recogntr.e that they ar+e solety responslble for submltting a complete appllqtfon beiny aware that upon <br /> Tailure to do so,the staR has no altemaff�ve but to reject 1t ur�l It k complebe or to recommend tfie rsyuest io� <br /> denial oi ffie requsst reQardless of tts patentlal merit <br /> • Acknowledge the Escrow AAreemerrt is completed and sign�. <br /> • The Owner hereby adcnowledges and agrees to this application and further suthorizes reasonable er�try orno the property <br /> by City Staff, consultar�,agents,Commiasion and Council Members for purposes of investigaUon and verifica�on of this <br /> �i�- <br /> • Ovmer andlor appllcanUager�t acknovrledge they must be present at all acheduled rev�ew msetings of tfie Planning <br /> Commissbn and Councll. If an appllcant and/or owner ia unable to attend s schedu{ed meeting, please make <br /> errangemen#s to have an authorized �p�eseMs�ve attend In plaoe of the applicanf/awner artd advise the City Planner <br /> assigned to your project. <br /> --� <br /> ApplicanUAgern Signature: Date: 2 <br /> Property Owner Signature: —r'—'�-i3ate: z <br /> Property OwRer Signature: Date: <br /> o,�r„��a►►�,�a�„rizo►►e ct��,a��r;�►,_ RECEIVE� <br /> January 2016 <br /> A�2 MAR 2 3 �Ot� <br /> � � � �� CITY OF ORONO <br />