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PC Exhibit A <br /> 16-3879 <br /> City of Orono <br /> Variance Application <br /> Snot Address: <br /> �f► AP$CM on* X579 cion.fAN suss <br /> Dale Received /D —f 7—/OP <br /> Fee <br /> . e1$ <br /> \¢ ,E - it. etylitel 56823-0016 Parent Fes <br /> aHv Nobs: <br /> Please complete. Applicant will be notified within 16 days as to the status of the application. <br /> Incomplete applications wIN at be placed on Planning Commission Agenda. <br /> SITE LOCATION: 3333 SHORELINE DRIVE <br /> DESORPTION OF QUEST; SETBACK VARIANCE TO INSTALL.PYLON SIGN <br /> (attached width:mai sheets es neoesasry)- <br /> APPLICANT I AGENT INFORMATION: <br /> Applicant Navane: SCENIC SIGN CORPORATION <br /> Phone(Primary): 320 202 9400 <br /> Applicant Email: JUSTIENjCSIO N.COM <br /> Address: ;�• •, ••"i.ST CLOUD MN ZIP: ,:X+r <br /> ApplIc ant Is: 4« ,,;"_,�.•,. Homeowner (Circle One) <br /> PROPERTY OWNER INFORMATION: 0 check here if property owner Is some as applicant <br /> Name: LUNDS REAL E'TATE HOLDINGS LLC <br /> Phone(Primary): -• 7"-'s• 1 +'i <br /> Melling Address: 4104 WEST 50TH ST12100 Qty: E6INA,MN ZIP: 55424 <br /> Email: face.Echaetteliffhl.com <br /> APPLICANT/AGENT AND/OR OWNER: <br /> • Agee to provide ed Nnormaeon required or requested by the Planning Department. <br /> • Agree agreet of this addicted bee red <br /> sme not covered in the cabbed be paynnentf andlor consultant erperaas Incurred In <br /> • Certify the(the information suppled is teas end correct to the belt of hisiher imowtedge. The applicant and ruler <br /> do�thher dellhas aNamMivs repot Il�eccmpttlete applostion being swam that upon adhere to <br /> or b moonmaadd the request for timid ohbe <br /> request regardless of he potential merit <br /> • Admowisdgs the Escrow Agreement Is completed and signed. <br /> • The Owner hereby acknowledges and names to 5*Implosion and tether=Modem r airy onto Si.property <br /> by City Stair.consultenb agents,Conmdeelon end Count Members for purposes of hwesagadlon and wAtce ion of tles <br /> menet <br /> • Owner andlor Applicant acknowledge they must be present at all soheddlad review meetings of the Planning <br /> Commission end Council. If en sprie:ant ander owner is unable to mend a achedulud masks. please make <br /> enanneme is to here an autFa$ad repres tee attend In piece of the applieadlowner end Wee the City Planner <br /> sestensa.to You'Pols& "••••,••;/e" <br /> Applicant/Agent Stgnature: !)ate: �►' {/v <br /> Apple:ant/Agent Signature: Date: <br /> PropertyOwner Signature: P /1?0pate: //94 RECEIVED <br /> Property Owner Signature: Date: BCT 1 1 2016 <br /> mom ap 101160-say s <br /> Pega 2 # 3 8 7,9 CRY OF ORONO <br />