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City of �rano PC ExhibitA <br /> Var�ance App�ica�tion <br /> , <br /> �'�f�j� 27�0 KAaNpY�P�arkwey ApP�ia�ion#� --�j �j Z 4U1� <br /> �r Orano,MN 5636� De1e Ft808hred: <br /> � 1 11�If4 652-214{ppQ �' C <br /> ta,c e�z-��a�s�e �; a�, K <br /> � � P.O.�mc�� Fsaow�t�S <br /> `�t� �,G� ar��B�r.�+r�a�s.floaa �mit Fee <br /> kESH oa Not�s: <br /> P�ase complete. ApplicaM will be nof�fiod withb�1v days as tc�the status of the�appticabon. <br /> Incomplate appl�catlons w�ll r�!x pl�d,�p��nntitig Cammlasion A�andns. <br /> s+r��oc�tioH: �o Honn ,,r�.w,n„�.�AN 55345 <br /> _ � <br /> aEacRPr�oi�t oF R�Ques�r: �awa 60►bt rne vartac�e���„�.�i�,�a <br /> (attaah�d sdd(ftonal shsets ae n�ceasary) °���rv�a�. <br /> APPLICANT/AC3ENT INFpRlIAAT�p�,�; <br /> Appi(cerrt Name: N1k�k�nd Edwud Osu <br /> Phane(Pr}mary): 1 f <br /> AppBcaM Eme��: ttedd 8.com <br /> Atl�reaa: <br /> Applicant is; Cantt�er,tar (Clrc�O�e� Clt . ZiP: <br /> PROPERTY OWI►�R lNfC1RMATiOfd; Ct c�eck here tt pro�rl�r oMmer is same ae appllesM <br /> Name: c�sll S.sea <br /> Phor�e(P�9mary): <br /> Malpng Addr�eas: 335 I.elc�St W <br /> EtnaM: A�1 Zlp: 563e� <br /> APP�ICAN7lAGENT ANDJpR pyy��; <br /> � Aq►oe to prinride all�nionn�tlprs roquirod ar rsguent�d by the Plannln�Deparar�r,k <br /> • l4area to pay additf�ond feas{ats(f drrtr�o!oovared in tha o�ipin�!fe.PaYr►�ert)andbr ooneultrM axpen�oes k�aumad in <br /> reviewa4lhi�apPNcetion,and <br /> � C�erNly thet U�e iMormatkn suPPBed ta true and comes*ta tha t�est oi hisfiet knowledqs 'rhe+pppcant and own�r <br /> t�oONxa flqlt they an solffY�spatelbls icN�ubn►ftqr�q�carapdtio appl�tlon belry�awrA d�at upon taFlun b <br /> do so�th�sbff h�a no�liematlw but tia reJact it nnttt tt is�b o�to nenwun�n�f g�raQuqt iar denw!af tlre <br /> aqwst roWrdln�a ot�s podntiel mertt <br /> � 'I1��O�r hs ��OOm��snd sl�ned. <br /> • bY CItS►8�tf.c�o�au °�J��tMs�on and iudt�er autl�ai�s reaeanable entry onlo the Rrop�rlY <br /> � ��.�onwr��on and CounaB Mamb��s tor purpows of i�ws�tion and v�On of thia <br /> • Qwe�sr antl/cr Appflpnt acknawlWpo 11tyr muist b�pr+�sant st�II saMdnhd rorisw m <br /> Comnds�bon snd Councll, !t an applfwurt and/or nwner �S u�bie to a�end o schedu��oT th� pl�pnMp <br /> artanpemenle 10 have an authnrizsd reprrsentetive ptbsnd M pfaoe of 1ha � P� nseka <br /> aselpned!o your projoai, iPA�SnUawn�r and advfed tha City Plenner <br /> � <br /> �P������: � • .�I G -- <br /> . <br /> AppffcerrtlAgent 3fpRaha�e: �� �"`-��=4`� <br /> �Property Qruner Slgnatu�e: �,�,;� .f> � �, r . ` <br /> pT�P�nY���t�ature: <br /> Daf�; <br /> verlano�a A�qcaMon—Ap►H�Ofe <br /> �°'z 1����1�9�D <br /> M�Y � 8 2016 <br /> �������R�o � 3 � 3� <br />