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t , <br /> DocuSign Envelope ID:55356F20-A548-4218-8D6A-46287D3DBC7B PC Exhibit A <br /> 17-3943 <br /> City of Orono <br /> Variance Application <br /> /OAi Street Address: Application# / CI y <br /> 2750 Kelley Parkway <br /> OOrono,MN 55356 Date Received: C; <br /> Main: 952-249-4600 Staff: <br /> fax: 952-249616 Fee: $700 �.f C K ` + i.P <br /> 7 , 7 -, -, <br /> Mailing Address: 4,4:‹1 <br /> � r ` C] <br /> yF P.O-Box 66 Escrow: $700 / ' "`C C r ' 1 116 <br /> L Crystal Bay,MN 55323-0066 Notes: <br /> gkESHoN, — — <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: 480 STUBBS BAY RD <br /> DESCRIPTION OF REQUEST: <br /> (attach additional sheets as necessary) <br /> APPLICANT INFORMATION: 0 check here if Applicant address should be used for billing <br /> Applicant: All Fnergy Solar <br /> Phone(Primary): 651-888-4173 _ <br /> Mailing Address: 1642 Carroll Ave,St Paul MN 55104 City: ZIP: <br /> Email: kristensaes@ilgmail corn_---_ <br /> PROPERTY OWNER INFORMATION: 0 check here if Property Owner is same as applicant <br /> 0 check here if Property Owner address should be used for billing <br /> Name: Larry Baran _ <br /> PhonePrima <br /> ( rY): (708) 337-4649 <br /> Mailing Address: 4810 Stubbs Bay Rn, I nng I ake, MN 85356 City: ZIP: <br /> Email: ___larneamighlymoonmen.com <br /> APPLICANT AND/OR PROPERTY OWNER: <br /> • 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 distributed via email. <br /> DocuSigned by. <br /> r �D� � � l 5/17/2017 <br /> Applicant Signature: I C+ 0OA Date: <br /> l <br /> 8D9E219357074AB <br /> Applicant Signature: Date: <br /> DocuSigned by: ,a, <br /> Property Owner Signature: (tW l 6.144, kw. f7 at/t, Date: 5/16/2017 <br /> RECEIVEI�� <br /> -00CD3F420053437 b aE`°'EIVE"' <br /> Property Owner Signature: Date: <br /> Variance Application-January 2017 MAY 1 7 ?01 <br /> Page 4# 2 cy, <br /> '‘- • • 3 <br /> CRY OF ORONO <br />