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r EXHIBIT A <br />City of Orono <br />Variance Application <br />Street Adimts <br />2750 Ke.:ty ParKviray <br />Ofcna. MN 55356 <br />Ntam 952-249-4e0<} <br />fax. 952-249-4616 <br />M»i 'gAdd/esi <br />P.O Dox 66 <br />Crystal Bay. NtN 15323-0056 <br />Appiicatcn * pC ^~7 <br />Date Receivco ' . ^v <br />AnrcyntPad ^i<C CC <br />Staff: _________ <br />Foo. S503____________ <br />Rcrrjval- S3 PC <br />Afte.'-tf'«-tar. SI 2C3 COJfce F»e <br />Tns application farm must be completed in full. Appu&a'.t will ae ratifed witnn t5 days as la t^e staijs of t*>e <br />apciicaijcn. Incomplete applications will not be placed on Planning Commission Agendas. <br />PROPERTY INFORMATION: <br />Site AdP^ess. 466' i !gi. Lrvi <br />Property Idenlfication Number (PlfO <br />L-oJlz ^6Ad Alfd 66S^f <br />("ropeny luuiiim^nuun muhiuki 4(»* IfY 2. ,6*1 .'7 LCo2> ^ <br />(Attach legal desc'iption to application if not included on the survey ) <br />Date Property Acquired (month/year) □ Tes. I ^ the adjacent parcels <br />Present use of property □ Residential Cl Other [r CC*M^ •<=_________ <br />Zcning Otstret; • I ft <br />APPLICANT INFORMATION: (Compicto legal names and marital status recu red 'cr eacn interested onrtyj <br />Name C-(7Wn.4nru LXu^^ _ <br />Phone (homeV ^Z.- ^ 13 - <br />Address' 2-fn)uj4^» \A)a\jPy\x/tLAddress- z,crD ut/ay <br />Email . rijLpil^h <br />Phone (work); ^ <br />_______City- <br />Fax. <br />2‘P <br />COY^ <br />OWNER INFORMATION: (Cemptete legal rwmes and mr tai status 'equ '#d ♦cr each interested party) <br />Name; T r;*\i uivtj <br />Phone (home); ^Phone (work) <br />a-a/t. f <*- <br />City: u.' 4u >Z4.h^_______Zip <br />Fax <br />Phone (home) <br />Address. n> to-6A-F \a)C4 <br />Email; rt t t i A uJA <br />DESCRIPTION OF REQUEST. Estimated Project Cosf <br />Describe the request In detail (attach addil onal sheets it necessary) - <br />lflp!St»DUjC7t' <br />lll'f Ut/iCO 4 M7*i <br />' ^ r-y <br />C»«I0 <0 A1I3-«^S •«IS:fa