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City of Orono <br />Variance Application <br />EXHIBIT A <br />Street Address: <br />2750 Kelley Parkway <br />Orono, MN 55356 <br />Main; 952-249-^500 <br />fax; 952-245-4616 <br />Mailing Address: . <br />P.O. Boxes <br />Crystal Bay, MN 55323-005S <br />Apoiication P O <br />Date Received. 4//^^ I ql/ <br />Amojnt Paid. /JCrOu' O 'C.' <br />IMJCSStaff: <br />Fee; ___ <br />Renewal; S330 <br />5530 <br />After-the-fact; $1.200 Doupie Fee <br />1^10^0^;°^ Ranning'Sommfrsiln <br />PROPERTY INFORMATION: _ <br />Site Address; ------------------------------------^ ------------------------------- <br />Property Identification Number (PlNy? ____~ i^'~] -t-S,-—PL, J-t <br />(Attach legal description to application if not included on the survey.) <br />Date Property Acquired (month/year); _________ □ Yes. I ovm the adjacent parcels. <br />Present use of property; CS Residential O Otner______________________________________ <br />Zoning District; ^ jZ -1 6^_________ <br />applicant INFORMATION: (Complete legal nar-es and marital status required for each mteresteo party) <br />Name; ___Lj------C.'i\ --------------r--------—=777"^—------------ <br />Address: .gfrcgT^ir.'■■O /A-c.'L. K <br />Email: 1^ _________________________-?r-bO <br />OWNER INFORMATION: (Complete legal names ard marital status required for each interested party) <br />Name; TH L_.___CA --------------------------— -----^ ■■ <br />Phone (home); ~7>^. A-_ Phone (work):-7^-b <br />Address; 1 1 (~> -A*! 'ly IV ^ . <br />Email; njj _________ ______________! <br />T=SlA I rUE ■ r'n A ^ H <br />Fax; 7 (.A- "7 L\3 <br />DESCRIPTION OF REQUEST: ' Estimated Project Cost; SoGO^ <br />Describe the reouesl in detail (attach additicnal sheets if necessai^)- -------------=rt=r~—^-----rc:— <br />l^ DtW IS V1 tViCm l^tuLr) tl\X:xS. | \\U—U >T T ,.f -. <br />hpiLlbc.c.-OL^ . loc^ulA L-\5L.rro ------------- <br />D^c-j^FALf TO .AaJ>7> J^llLLD—----- <br />ifOcTiLu rwOgliOA^ ALL <br />f <br />I ^ *^1t 1 V:jv\ /J