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City of Orono <br /> Variance Application <br /> Street Address: Application# <br /> -(Z 0 A) 2750 Kelley Parkway <br /> �/ Orono,MN 55356 Date Received: <br /> Main: 952-249-4600 Staff: <br /> fax: 952-249-4616 Fee: $700 • <br /> a Mailing Address: <br /> �� P.O.Box 66 Escrow: $700 / $2,500 <br /> l G Crystal Bay,MN 55323-0066 Notes: <br /> � SHOv-t <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: 3155 Cosco Point <br /> DESCRIPTION OF REQUEST: Replace stairs and landings and add some walls to protect the bank. <br /> (attach additional sheets as necessary) <br /> APPLICANT INFORMATION: ❑check here if Applicant address should be used for billing <br /> Applicant: Dale A. Gustafson <br /> Phone(Primary): 763-544-4215 <br /> Mailing Address: 1845 Wisconsin Ave N City: Golden Valley Zip:55427 <br /> Email: <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: Kevin Kretsch <br /> Phone (Primary): 763-226-8086 <br /> Mailing Address: 18215 34th Ave N City:Plymouth ZIP:55447 <br /> Email: kevinkretsch@comcast.net <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 itis 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: O ,¢j Date: <br /> Applicant Signature: Date: <br /> Property Owner Signature: Date: 7/s/ / <br /> Property Owner Signature: Date: <br /> Variance Application—January 2017 <br /> Page 4 <br />