HomeMy WebLinkAbout18-4000 Garcia (1335 Arbor St) Exhibit A AppCity of Orono
Variance Application
Street Address:
2750 Kelley Parkway
Application #
Orono, MN 55356
Date Received:
Main: 952 249.4M
Staff
fax 952 249-4616
Mailing Address.
Fee:
P.O. Box 66
Escrow:$
ig1
Crystal Bay. MN 55323-0066
Notes:
Please complete. Applicant will be notified within 15 days as to the status of the application.
Incomplete applications will/ not be placed on Planning Commission Agenda.
SITE LOCATION:
DESCRIPTION OF OF REQUEST: v
(attach additional sheets as necessary)
APPLICANT INFORM ff N: check here if Applicant address should be used for billing
Applicant: --I
Phone (Primary): Z --
Mailing Address: 2�6 1 (,p K e g—FQ C ZIP:
Email: �_�, t�Ttr
PROPERTY OWNER INFORMATION: ❑ check here if Property Owner is same as applicant
Name:
O check here if Property Owner address should be used for billing
r3lz-j�r, ��
Phone (Primary):
Mailing Address C' Zli
Email:� 1
APPLICANT AND/OR PROPERTY OWNER:
• Certify that the information supplied is true and correct to the best of his/her knowledge. The applicant and prapsrty owner
recognize that they are solely responsible for submitting a complete application being aware that upon failure to do so, the
staff has no alternative but to reject it until it is complete or to recommend the request for denial of the request regardless
of its potential merit.
• The Property Owner hereby acknowledges and agrees to this application and further authorizes reasonable entry onto the
property by City Staff, consultants, agents, Commission and Council Members for purposes of investigation and verification
of this request
• Property Owner and/or Applicant acknowledge they must be present at all scheduled review meetings of the Planning
Commission and Council_ If an applicant and/or property owner is unable to attend a scheduled meeting, please make
arrangements to have an authorized representative attend in place of the applicant/owner and advise the City Planner
assigned to your projecL
• Information will be distributed bia ail.
Applicant Signature: Date: I� lZ' 1 T
i
Applicant Signature: Date:
Property Owner Signature:
Property Owner Signature:
Vananre AppCcaSon — September 2017
Date: 1 Z.. 1 EcrmiyF
Date: _ nE7rg n J
Page 4
' L 0 0 C" OF ORONO
City of Orono
Variance Pre -Application
Meeting Foram
(This form is to be completed by a City Planner during your pre -application meeting_)
-Fhrc4 Ose:Ortlu=
What Is the purpose of a pre -application meeting?
Pre -application meetings aid the applicant in preparing a complete proposal, 'inform them of the procedures and
requirements of the city code, and identify policies or regulations that create opportunities or problems for the proposal.
PROPERTY INFORMATION:
Site Address:
Property Identification Numbe
Zoning District:
33"S AJRR();0- �i jeer, -t—
Size of Property: S ?_ X 1 `(C_ _
DESCRIPTION OF VARIANCE REQUEST:
❑ Average Setback ide Yard Setback 0 Rear Yard Setback
CP Hardcover Lot Coverage ❑ Lot Area
0 Other:
0 Lake/Front Yard Setback
❑ Lot Width
Applicant's
Initials:
LA
PRACTICAL. DIFFICULTIES: Owner and/or Applicant has received the Practical
Difficulties Documentation Form, understands it as it has been explained to them, and is
Property
aware that it must be completed and submitted in conjunction with their formal variance
Owner's
application.
Initials:
Applicant's
Initials_
BILLS AND ESCROW: Owner and/or Applicant shall pay for consultant expenses incurred
in review of this application and/or additional staff time not covered in initial application fee,
Property
Owner's
as well as provide an escrow in the amount of $ to guarantee payment of the
above.
Initials:
��•a aa—•a uar�a�u
jaw.._
v • •ara �. ua riuoaraa ava�.
*Please note: Your v,,
farm will be completed
Applicant Signature:
Owner Signature: 6
Vwiance AppHcat an — September 2017
without a pre -application meeting during
Date:
a Z, !z 1.-7
c..�. Date: 11
PtI9e 3 „t.', afi
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this
RECOVED
DEC 13 Zu17
CITY OF ORONO