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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; 952-249-4600 <br />fax; 952-249-4616 <br />Mailing Address: . <br />P.O. Box 66 <br />Crystal Bay. MN 55323-0066 <br />Application# <br />Date Received; <br />Amount Paid: (j'/JiJ- <br />Staff; ll'V/l/L^)ICy <br />fee: S600 __________ <br />Renewal: S300 _____________ <br />AfteMhe-fect: $1,200 Double Fee <br />«rnotTe yiaceS “n pTanning commfrsiln <br />PROPERTY INFORMATION: » / / <br />Site Address; n>rd\—LX\ <br />..“ .. _ a. I / O I KI\ • <br />(Altacn legal aescripuon .......7- : - ~ <br />Date Property Acquired (month/year): ^ /Yj- ° <br />Present use of property; Residential □ 0:ner ------- <br />Zoning District; I <br />APPLICANT INFORMATION: (Complete legal narres and marital status required for each interested party) <br />Name; 4^0 a.<i \ok— <br />Phone (home); ^^-^.-7 ■ ■— -------------, , .r,, <br />Address; i ' j , .- 7 y • >4- <br />Email; riLi h t.f ('■/l iT\r\iv\lirt C'~f/i~ 1 ItlL,-! c (/__— -------- ^ ^ <br />OWNER^(NF9RMATlOJN: (Cemplete leg^l names required for each interested party) <br />Phone (wb7i ^ ~ <br />Phone (work) _____ <br />Phone fhn'm:v"‘'^.i-7-c/7/-'v ,— Phone (work): <br />Address: feil-VL L^nlv //- <br />Email; <br />DESCRIPTION OF REQUEST; <br />_ .. .. _____________As t________/-Describe the requ <br />>N OF REUUti)i: ......... <br />request in detail (attach additional sheets if necessary). <br />/e+U- o-r- It IH ICH— <br />Estimated Project Cost; $ '7^ 'o C <br />Io o•>: <br />,0 <br />O'