Laserfiche WebLink
PC <br /> City of Orono Exhibit A <br /> Variance Application #17-3934 <br /> O Street Address: Application# / -7�r 2750 Kelley Parkway <br /> O ` �O Orono,MN 55356 Date Received: i <br /> _ -. Main: 952-249-4600 Staff: &(G <br /> fax: 952-249-4616 <br /> y j Mailing Address: Fee: $700 /x-1 c'• N >C`)('``_ <br /> P.O.Box 66 Escrow: <br /> e• �,' o Crystal Bay.MN 55323-0066 $700 / (�� �' 9 <br /> ltEs Hi&- Notes: <br /> Please complete. Applicant will be notified within 15 days as to the status of the application. <br /> Incomplete applications will not be placed on Planning Commission Agenda. <br /> SITE LOCATION: /9 Ss' 6atiozzL//Va. ttR.IVit. <br /> DESCRIPTION OF REQUEST: £N7Rrtive-f . 5/44 4,1Er► /301e-i< <br /> (attach additional sheets as necessary) <br /> APPLICANT INFORMATION: )' check here if Applicant address should be user or billing <br /> Applicant: / minty'« Smolt'', mAgem/4 girM�17 A4y ..774,1„ k,A,t .4-rvob <br /> Phone(Primary): 46I. zge .qsi7Z <br /> Mailing Address: /96-6. S/yp ,, jj iyir._ City: O 0/1ia ZIP: 6-6-39/ <br /> Email: , y j Al a y1 Shot ae-r.i.1(L. A,.dlM/% <br /> PROPERTY OWNER INFORMATION: jrcheck here if Property Owner is same as applicant <br /> 0 check here if Property Owner address shout be used for billing <br /> Name: i►✓a7' Sy� Ai£` A#4 5m•TICS SAy ...Thi Arlicet. A,6 <br /> Phone(Primary): a! • Zcel • 9Y72 <br /> Mailing Address: _ It 6's" 414a/Lirgi _ Vit_ City: �p/uQ ZIP: !,�-S59/ <br /> Email: <br /> j;N'1 flarbio.e%i M r, 4yr <br /> APPLICANT AND/OR PROPERTY OWNER: <br /> 4 Certify that the information supplied is true and correct to the best of his/her knowledge. The applicant and property owner <br /> recognize that they are solely responsible for submitting a complete application being aware that upon failure to do so,the <br /> staff has no alternative but to reject it until it is complete or to recommend the request for denial of the request regardless <br /> of Its potential merit. <br /> • The Property Owner hereby acknowledges and agrees to this application and further authorizes reasonable entry onto the <br /> property by City Staff,consultants,agents,Commission and Council Members for purposes of investigation and verification <br /> of this request. <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 distribua email. <br /> Applicant Signature: 40, AM>.• / Date: VA /Z,/ <br /> Applicant Signature:g Date: <br /> Property Owner Signature: Date: 7/i /zD,7 RECEIVE) <br /> Property Owner Signature: Date: APR 1 7 2017 <br /> Variance Application—January 2017 <br /> Page 4 3934 CITY OF ORONO <br />