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EXHIBIT A <br />City of Orono <br />Variance Application <br />Street Address <br />2750 Keiiey Parkway <br />Orono. MN 55356 <br />Main. S52-249-4603 <br />fax- 952-249-431S <br />Mailing Address <br />P O Boxes <br />Crystal Bay. MN 55323-0066 <br />Apciication # -3Ci36^ <br />Date Received <br />Amount Paid Li-CO <br />Staff <br />Fee: S?C0 <br />Rsnev/al'S3 00 <br />After-tn.e-facl; 5'.20C Oout::e Fee <br />This application form must be completed m full. Applicant will be notified w.thir 15 days as to the status of the <br />application. Incomplete applications will not be placed on Planning Commission Agendas. <br />PROPERTY INFORMATION: fv n <br />Site Address: ‘37[ti /rt~€TT_____ <br />Property Identification Nurnber (PIN); 3 “^ |) ft ^ 3rCXj <br />(Attach legal descr ption to application if not me tided on the survey.) <br />Date Property Acquired (month/year). ________ □ Ves, i own tne adjacent parcels. <br />Present use of property (fS'Residential □ Other_______________________________________ <br />Zoning District: p - //-•■_____________ <br />APPLICANT INFORMATION: (Complete legal names and mantai status require for eacn interested party) <br />Name. Aa r ? I P i»(P6 V a-^^________TrH-r~ v FLc iC c IvFi/i jQ 2./)- <br />Phone (home)' ^ — 7 _____ Phone (workjT^ ^/s~ ~t>- <br />Address; ^^ ^ A;^>tS rAf K ^S":S '^/ C <br />i- rru]\;-i hr i>nf>)~~,Cfr7-tY____________^ —93^ ~Email: dfl ^i Fr hcrr7-<Y ____________>~9 3^ ~ ^7A 6 <br />'Tcrf'' cd-ciur«^i'/1 rc.c^Ti> ViCcyi^'y <br />OWNER INFORMATION: (Complete legal names and marital status requ red for each interested party) <br />Name ____________________________________ <br />Phone (home): O^TZi. -OO'J^ y Phone (work); <br />Address '3~78s" U.>or-1->r^d.r-\ p r) <br />Email. <br />J <br />Fax: <br />S U.^,c>c\' <br />dt n>n <br />(h ,iJ <br />qq i.