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Qi- <br /> ��e PC Exhibit A <br /> 17-1944 <br /> City of Orono <br /> Amendment Application <br /> o Comprehensive Plan / ❑ Ordinance Text / x Zoning Change (check one) <br /> Street Address: Application# /1 - 3 9(i-q <br /> 2750 Kelley Parkway <br /> (:,(((„,41-:"-§1...,0,Ai Orono,MN 55356 Date Received: 5- i 7 —!, <br /> Main: 95 -249 4600 Staff �.J— —7 <br /> fax: 952-249-4616 Fee: $700 <br /> Pld /1 1toO7 <br /> y Marling Address: <br /> 1� +� 1 P.O.Box 66 Escrow: $700 ,( c I t en <br /> G Crystal Bay,MN 55323-0066 Notes <br /> �""' <br /> kEsH09- <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 Agendas. <br /> SITE LOCATION: 26LGr AL -er w M N 55531 <br /> APPLICANT INFORMATION: 0 check here if Ap icant address should be used for billing <br /> Applicant: Westwood Professional Services <br /> Phone (Primary): (952)937-5150 <br /> Mailing Address: 7699 Anagram Drive _ City: Eden Prairie ZIP: 55344 <br /> Email: torn.goodrum@westwoodps.com <br /> PROPERTY OWNER INFORMATION: 0 check here if Property Owner is same as applicant <br /> IM check here if Property Owner address should be used for billing <br /> Name: UGORETS 8098 LLC <br /> Phone (Primary): (612)363-3321 <br /> Mailing Address: 410 11th Ave South City: Hopkins ZIP: 55343 <br /> Email: alex@midlandglass.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 /> Applicant Signature: Date: 5/17/17 <br /> Applicant Signature: Date: <br /> / <br /> Property Owner Signature: 1 14 _, Date: / 7 <br /> Property Owner Signature: Date: RECEIVED <br /> Amendment Application-January 2017 MAY 17 2017 <br /> Page 4 it 3 <br /> 9 4 4 CITY OF ORONO <br />