Laserfiche WebLink
EXHIBIT A <br />City of Orono <br />Variance Application <br />Stmel Address: <br />2750 Kelley Parkway <br />Orono, MN 5S356 <br />Main; 952-249-4600 <br />fax; 952-249-4610 <br />Mailing Address: <br />P.O. Box 66 <br />Crystal Bay, MN 55323*0066 <br />Application « . <br />Date Received; . <br />jid; -ikCb C OAmount Paid ____ <br />Suff: Jr\7JiL^ <br />Fee;S600 <br />Renewal; S300 <br />After-tne-fact; Si,200 Double Fee <br />This aoolication form must be completed in full. Applicant will be nolified within t5 days as to the status of tho <br />wpiiMOcSi Incomplete applications will not be placed on Planning commission Agendas. <br />PROPERTY INFORMATION: , <br />Site Address; 4^i3 Aid ^ ^ ------------------ <br />Property Identircation Number ^ 34 ,,,— <br />/ Hocrrintinn tn anolicalion if not included on the survey.) <br />Property Idenltr.canon iNumoer \rnv. __---------------------------------------- <br />Present use of property; D Residential tS-Other .(^i? tT --------------------- <br />Zoning District: - \L'jL -1 BMOT w w • • - ^ ^ ' ■ <br />APPLICANT INFORMATION: (Complete legal names and moriial status required (or each interested party) <br />N ame; \a)a d n-fYlsf—iAijJia-------------------------------------:----tttz—-------------- <br />Phone(hympS- 1____P^^cne (work), j^-4 1^-C p--------------- <br />Address; '?^iro -U/4iAddress; /,tro wu.y^?-ccrT*-__r?.! <br />Email; k/La - /cf iP Ia/O-I/ —lii <br />Z’P- 1^ Ai <br />-1*—------------------r ' C4rvi4 <br />OWNER INFORMATION: (Complete legal names and mantal status required for each Interested party) <br />Name: \K)ri\id^jJ^ CC^liA.k> -------------—----------------------------- <br />Phone (homejl: ^^2* ______rnone \ngmcy. n f ^ ^ _________ <br />Address; UJ-c^-h P)\urf <br />Email: 0^\AS'aaj.Ls - d j t i(* uj A sf. fcAd <br />Phone (workt; ^^7.'A'li ~(j^ ^_________ <br />City; U7A t/ ______Z-ip. _»i aJ <br />S zi nil - z ^ <br />DESCRIPTION OF REQUEST; Estimated Project Cost; <br />Describe the request in detail (attach additional sneets if necessary). <br />r.y <br />ILH lii/ISfi-d NW llSNrZZSfi4 CHOW W Aii3-oo*’i MSS’-M tOSZ-ZZ