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� . ����«�� <br /> City t�f �ro�tt� Auv � 7�`zo�e <br /> lfariar�ce Application CiTYOFORONO <br /> sveet,add�ss: nppru�tion# / 3 <br /> �2 O/�T� 2750 Keliey parkway <br /> T`" ` w Orono,MN 55356 DBte Received: —/ _ <br /> " Stsfl: <br /> Main: 952-249-46pp <br /> fs�c e52-249-46'!6 Fee: 7ap <br /> .� " Me�p Add►ess: ESCrow#8�s <br /> � � P.o.Box6B �� � <br /> � G~ Crystaf Bay,MN 5�5323-0068 Permit Fee <br /> t�k�s H a�� Nates: <br /> Please complete. Applicarrt wiN be notified within 15 days as to the status of the application. <br /> Incomplete applications will not be p[aced on P�anning Commission Agenda. <br /> SITE LOCATION' S00 Willow Dr S Orono, MN 5535fi <br /> dESCRPTION OF REQUEST: Accessory strucrirre in #ront of Primc�ry s#ructure <br /> (aftached additionaf sheets as necessary) <br /> APPLFCANT/AGEAtT tNFORMATION: <br /> Appiicant Name: Peter Eskuche <br /> Phone(Primary}: b12-296-75�5 <br /> �IIC8M�R1AI�: Peter.eskuche�or-son.com <br /> qddrggg: ast a e treet Ci . W�q,p,,� Zlp: �.�`C� <br /> ApPlicant is: ontraotor � Homeawner �Circte One) <br /> PROPERTY OWNER INFORMA'ftON: �c�►eck here if property owner is same as applicant <br /> Name: r� � .y� <br /> Phone(Pnmary): • <br /> Mailing Address: Q Cit : ZIP: <br /> Ernail: <br /> . � <br /> APPt.lCANT/AGENT AND/OR OWNER: <br /> • Agree to provide all intormation�uired or requested by the Planning Departrr►er►t, <br /> • Agree to pay additional fees (staf#�me not oovered In the origina!fea paFyment) and/or const�itant expenses fncurred in <br /> review of th�s application,and <br /> � Certiiy th�t the inf+ormation suppHed is true and oornec:t bo the best of hisR�er knowledge. The applicar�t and awnar <br /> r�cogntu that they are soleyr responsible for submit8n�a complete application boing aws�a that upon failune to <br /> do so.ths stuff haa r�o altemativ�but bo rRJsct it untfl it fs compkte or to recommond the request ior danial af tha <br /> requeat re�rdless of its pobantial msrit <br /> • Acknowledge the Escrow Agreemer�t is compEeted ated signed. <br /> • The Owner hereby acknow�edges and agrees fo this applic:ation and further authorizes reasonable eMry onto the prnperty <br /> by City Staff, consuftants,agents, Commisaion snd Councll Members f+or purposes of investigation and verific,�a6on of this <br /> reques� <br /> • Owr� and/or ApplEcant acimowledge they muat be preaent at stl scheduled r�yeew meetlngs of the Planning <br /> Cammission and Council. tf an applicarit and/or owrier 1s unaWe to attend a scheduted meeting, please make <br /> arraneements to have an authorfzed representative attend in plac� of the applicar�tlaKmer and advise the Ci#y Planner <br /> assigned ta your project, <br /> Appiicant/�ent Signature: Date: <br /> ApplicantiAgent Signature: Date: <br /> Property Owner Signature; �ate: j� �6 / <br /> Property�vmer Signature: Date: � � � <br /> Varisnce AppNcaBon-May 2018 <br /> Page Z � � � �� <br />