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PC <br /> 17-3988 <br /> 17-3989 <br /> City of Orono 17-3990 <br /> Exhibit A <br /> Variance Application <br /> Street Address: <br /> ti,„ <br /> 0 2750 Kelley Parkway Application# 7- 3 g <br /> Orono,MN 55356 Date Received: /6 //8/I 7 <br /> I Main: 952-249-4600 Staff: J tf <br /> fax 952-249.4616 Fee: f�. of/ <br /> ,- Mailing Address: $700 <br /> P.O.Box 66 Escrow: $700 ! $2,500 <br /> GCrystal Say,MN 55323-0066Notes' EsHO4' <br /> Please complete. Applicant will be notified within 15 days as to the status of the application. <br /> Incomplete applications will pot be placed on Planning Commission Agenda. <br /> SiTE LOCATION: Lot s l, 2, 3 Block 1, CASCO POINT ADDITION - ADDRESSES UNASSIGNED <br /> DESCRIPTION OF REQUEST: VARIANCE OF WETLAND SETBACK <br /> (attach additional sheets as necessary) <br /> APPUCANT INFORMATION: ®check here if Applicant address should be used for billing <br /> Applicant: LAKE WEST DEVELOPMENT, LLC <br /> Phone(Primary): 952-930-3000 <br /> Mailing Address: 14525 HIGHWAY 7, #265 City:MINNETONKA ZIP: 55345 <br /> Email: PERRY@LWESTDEV.COM , CURT @LWESTDEV.COM <br /> PROPERTY OWNER INFORMATION: ❑check here if Property Owner is same as applicant <br /> 0 check here if Property Owner address should be used for billing <br /> Name: RICK (BARBARA) LUPIENT <br /> Phone(Primary): 612-790-1800 <br /> Mailing Address: 20 2ND STREET NE City:MINNEAPQLIS ZIP: 55413 <br /> Email: RICKLUPIENT@GMAIL.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 /> ed arrangements to have an authorized representative attend in place of the applicant/owner and advise the City Planner <br /> assigned of your project. <br /> • Information wiN be distributed via email. <br /> Applicant Signature: Date: 10/17/17 <br /> Applicant Signature: Date: <br /> Property Owner Signature: SEE AGENT AUTHORIZATION Date: <br /> Property Owner Signature: Date: RECEIVE <br /> D <br /> Variance Application-January 2077 <br /> Page 4 JCI 14 /-01 f <br /> 3 9 88 CITY OF ORONO <br />