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PC Exhibit A <br />1&-3879 <br />City of Orono <br />Variance Application <br />Sbeer Adalwss: <br />Application # <br />2750 Way Parkway <br />Omno. MN Wm <br />Date} Received: <br />Staff <br />Mein: 952-2494&)o <br />fax: e:i2-2616 <br />Fee <br />A arlffnp Addrsas <br />ESOMW 0 <br />PA. box ea <br />Crystal Bay. MN 55323- 66 <br />Peanut Fee <br />Nates: <br />Please complete. Applicant will be notified within 15 days as to the stt s of tti$ application. <br />Incomplete supplications will n& be placed on Planning Commleslon Agenda, <br />SITE LOCATION: 3339 SHORELINE DRIVE <br />DESCRIMN OF REQUEST: SETBACK VARIANCE TO INSTALL, PYLON SIGN <br />(attached ;WoiW sheets as neoosery) <br />APPLICANT 1 AGENT INFORMATION: <br />Applicant Name: SCENIC SIGN CORPORATION <br />Phone (Primary): 320 252 9400 <br />Appllaant Emall: JUS IN -S IU t N. M <br />Address: PO AOX RAI <br />Applicant is. <br />Homeowner (Circle One) <br />PROPERTY OWNER INFORMATION: O check here if property owner Is some as applicant <br />Name. <br />Phone (Primary); <br />Mang Address: <br />Emall: <br />APPLICANTlAGENT ANDIOR OWNER: <br />41 Agree to provide all information required or requested by the Planning Department, <br />Agree to pay additional thea (OW lime not owrared In the original fee payment) artdlor consultant expenses Incurred in <br />review of this application, and <br />* Csrt+iy that to k6rrnation mppitod Is We and comict to the heist of lilsd knowledge. The epplicant and owner <br />recoginbw WO they we "sly nest notble For subinItting a complete application being aware that upon failures to <br />do so, tho AW has no alternative but to reject It until It is corm or to roo mwwnd lite request for denial of Mee <br />rrqu«st re flwdless of Its p0ential m>arlt. <br />Acknowledge the brow AgroBanern in completed and signed. <br />• The Owner hereby w*no+Medges and agrees to this application and furthor author m reasonable entry onto the property <br />by City Staff. consultants, agents, Commission and Counch Members for purpcoas of investigation and vermcatian of this <br />request. <br />Owsrnor andkw Apptica,nt m*nowiadgs they must be present at ail scheduled review awtings of the Planning <br />Comrrdsaion and Council. If an appkant "or owner Is unable to attend a scheduled rtlealing, pieaae make <br />aaursngsmants to have an suftriaed representotive attend In place of the appticantlow ner and advise the City planner <br />assigned to yow prolact. <br />Applicant/Agent Signature: Date: r►' �# <br />ApplrcantlAgent Signature. Date: <br />Property Owner Signature: P <br />CL-- <br />& RECEIVED <br />Property Owner Signature: Date: _ nr+r 44-M6 <br />6 <br />wadaao-U+2016 ��z CIN OF OIRONO <br />3879 <br />