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City of Orono <br />Variance Appiication <br />EXHIBIT A 2. <br />Street Address: <br />2750 Kelley Parkway <br />Orono. MN 55356 <br />Main: 952-249-4600 <br />fax; 952-249-4616 <br />Mailing Address: <br />P.O. Box 66 <br />Cryslol Bay. MN 55323-0066 <br />Application tt —^OS) I <br />Date Received; p~- I rni-f <br />Amount Paid: f'pQO. OV:> <br />Staff; Tn nlca?... _____ <br />Fee;$600 <br />Renewal; $300 <br />After Ihe-fact: $1,200 Double Fee <br />This application form must be completed in fult. Applicant will be notiHed v/ilhin 15 days as to the status of the <br />application. Incomplete applications will not be placed on Planning Commission Agendas. <br />PROPERTY INFORMATION: <br />Site Address: 55 Ij \JD^<o4 UOuVLgy e-C.-V t)v'on & , TH <br />Property Identification Number (PIN): p<5\ \ "1 "L 5 T-^5 o C>\*=> <br />(Attach legal description to application if not included on the survey.) <br />Date Property Acquired (month/year): o ~l | □ Yes, I own the adjacent parcels. <br />Present use of property: QSi Residential □ Other____________________________ <br />Zoning District: L-iP.\A __________ <br />APPLICANT INFORMATION: (Complete tegal names and maritat status required for each interested party) <br />Name: ___________________ <br />Phone (home): ~l\o5 - tW»A- - 4-o<=\c>________Phone (work): <br />Address: \9>4-<^5 P\qpp. fs), (arovle., V___________ ___________ <br />Email: AcjAt^ g. eAr-V-in UnVc . ng_4-__________Fax: (caa\ aJnfajC) <br />OWNER INFOjRMATION: (Complete legal names and rnnriia^status rec^ulre^for each interested party) <br />Phone (home): 4-44 - d-D4<^ Phone (work): ~1 - Ho4 -~in5 'T— <br />Address: SL*^-VV^ Pta(>g. N . brcNf,. 553 \ \_______________ <br />Email: ^ eiLrVV\\\nY..ne>_________Fax: -444>4-d4^ f igj\ QJn^A±) <br />DESCRIPTION OF REQUEST: Estimated Project Cost: $ 45c>.bC>0 <br />Describe the request in detail (attach additional sheets if necessary): <br />5C4bOrA^VCLnOLnce^ to CYrA<>A>-4-n <br />—bvijQdL^-PY\ 4V\iF> rmrrrryA 5o_4ttd4 \n-\-. TV\e^ 4tm4 ‘6c4ba-eAo <br />i:gj:|.ujLy:ej rYT4^4 in 4bt 2-(LtLx-g^ mcLkie.*^ +bt<=» •5>4€.^ o^bu , <br />nfiiii ri«f>airfiiri