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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 />Application # 0Q~ <br />Date Received: 2^' <br />Main: 952-249-4600 <br />fax: 952-249-4616 <br />Mailing Address: <br />P.O. Box 66 <br />Crystal Bay, MN 55323-0066 <br />Amount Paid; £ buQ. OO <br />Staff; JANiC/^ <br />Fee: SSOO <br />Renewal; S300 <br />After-fne-fact; 51.200 Double Fee <br />This application form must be completed In full. Apficant v/ill be notified within 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: <br />,o <br />Property Identification Number (PIN): <br />i.C) u i\ <br />- i \ 7- 3 I - DCc> <br />(Attach legal description to application if not included on the survey.) <br />Date Property Acquired (month/year): □ Yes, I own the adjacent parcels. <br />____\ /A/- 1Present use of pr^erty; □ R^idential ^{SH^Other <br />Zoning District: Vgc.0 > <br />APPLICANT INFORMATION: (Complete legal-9arr.cs and marital status required for each interested party) <br />Name: AAiCAW^r-^ <br />jf____________________________________________ <br />Phone (home);________ <br />Address: ...—,_____ <br />Email: Aa47/V ^ Cr>Fax: <br />OWNEF^IN^ORMATION; (Complete leg^ames e-d m-rital status required for each interested party) <br />Name <br />Phone (hom^. ^ <br />Address: ,5^/' ___________ <br />Email; ^ ^ . A h.e^Fax; <br />DESCRIPTION OF REQUEST: Estimated Project Cost: $ <br />Describe the Kquest in detail (attach additional sheets if necessary): <br />TOyC c ' <br />Tl^T+ <br />/A cjTT><\Si^ <br />\ • ^ _ <br />Ov— <br />TO A A Hi <br />:S: <br />vs <br />Sf£]ff«CRr< <br />«i3 / <br />1I