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City of Orono <br /> Variance Application Exhibit <br /> add : <br /> arse 751131 e: <br /> Psrkwey Application# / - ci 604 Ifo-$$b b) <br /> (....- Q Orono,t�tW 55356 Date Received: <br /> fax 952-249-461 g Staff: YA <br /> p�. <br /> A a S\\,s,:::....... pAddrmasaBox 66 : Fee: $700 V <br /> ' !� �G it PCrya1 Bay,MN 55323-0066 <br /> Notes: <br /> ,y �70Q / $Z,l W f <br /> Esti O* <br /> Please complete. Applicant will be notified within 15 days as to the status of the application. <br /> Incomplete applications will mg be placed on Planning Commission Agenda. <br /> SITE LOCATION: VI Z..0 a L ,, Pt 7A.'r /?cPW <br /> DESCRIPTION OF REQUEST: *fib _ 1 T, F r <br /> (attach�sheets as necessary) �.• <br /> APPLICANT INFORMATION: U check here If .. scant address should be be used�bil g r� <br /> Applicant: <br /> r 'r :T�3 Y _. � <br /> Phone(Primary): <br /> Mailing Address: <br /> Email: ' ZIP: <br /> PROPERTY OWNER INFORMATION: 0 check here if Property Owner is same as applicant <br /> Name: 'check here if Property Owner address should he used for billing <br /> Phone Prima tt..:. ..e.- .4,,w! , -.c= 4',ir..1.4; <br /> ( ry : .fib/ 10 (t V �►,ea,3s <br /> Mailing Address:• ,� eve "" City: <br /> Email: ,,.. itiejAA4-� el#,��i /ize— e.Br10 +�� � ►�s11�" ZIP: � <br /> APPLICANT AND/OR PROPERTY OWNER: <br /> • Certify that the Information supplied is true and correct to the best of hfslher knowledge. The applicant and <br /> recognize that they am solely responsible for submittingang aware property owner <br /> staff has no alternative but to reject it until it is complete or to�n9commend the request for denial of the rupon e failure to do the <br /> of its potential merit request regardless <br /> • The Property'� 'herebysacknowledges and agrees to this application and further authorizes reasonable'entry onto the <br /> property ts, <br /> of this request agents, purposes of Investigation Commission and Council Members for and verification <br /> • Property Owner and/or Applicant acknowledge they must be present at all scheduled review meetings of the Planning <br /> Commission and Council. If an applicant and/or property owner is unable to attend a scheduled meeting, please make <br /> arrangements to have an authorized representative attend in place of the applicant/owner and advise the City Planner <br /> assigned to your project. <br /> • Information will be distributer)via email. <br /> Applicant Signature: j/'.//f./Ai&,. <br /> ..i, Date: ---��'���� <br /> Applicant Signature: <br /> Date: <br /> Property Owner Signature: i Date: 7-f?.D(r 7- RECEIVED <br /> Property Owner Signature: 1,Vj,L. K. 914,844.... <br /> Variance Application-January 201t <br /> Date: 7./2,10? FEB 2 2017 <br /> Pape 4 # 3 9 15 CITY OF ORONO <br />