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City of Orono <br />Variance Application <br />EXHIBIT A <br />Sfraef Address;Aoolication • 1 ^ <br />2750 Kelley Parkway Date Received; U -Zt-64 <br />Orono. MN SS3S6 Amount Paid: r.OO.*"-* Px» <br />Staff: .V* - <br />Main 952-243-4600 Fee; S600 <br />fax: 952-249-4616 Rane-.val; 5300 <br />Mating Address.Af :r-the-fact 51.200 Doub'e Fee <br />P.O. Box 66 <br />Crystal Bay. MN 55323>:066 <br />This applicabon lorm must be completed in full. App'cant wHl be notified within 15 days as to the status of the <br />app;«ation. incomplete applications will not be placed on Planning Commission Agendas. <br />PROPERTY INFORMATION: <br />Site Address: 325 __________________________________________ <br />Property Identification Number (PIN): ___________________________________________ <br />(Attach legal description to application if not Included on the survey.) <br />Date Property Acquired (month/year): t [ 0 4 □ Yes, I own the adjacent parcels. <br />Present use of property: ^Residential □ Oner_________________________________ <br />Zoning District;___________________ <br />APPLICANT INFORMATION: (Complete legal na-es and marital status recuired for each interested parly) <br />Name: V/gyirlo 6u\U va*^_______________________ceW - qcy=»2> <br />Phone (home): <br />Address: <br />Email: ■ <br />Phone (work): (CotT.^ 2.06-5-0 49 <br />pot'^ • <br />u3SatV%v>o-*^^0 -cor>o Cfcvoo (.OS>OfS>S <br />OWNER INFORMATION: (Complete legal na. .es manta: status required for each inte'ested party) <br />Name; _______________________ ____________ <br />Phone (home): * Ut(^) nP-H-11 V*i Phone (work): (Ln J ___ <br />Address: a*\0*l _____ <br />Email: \>)wv.V.»vnlfcvL«vv»y ’r^ ^ Fax:((gt^j <br />DESCRIPTION OF REQUEST: Estimated Project Cost <br />Describe the request in detail (attach additional sheets if rjecessary);_________ <br />■ c CLCr^ OjL\i C^C * V Jt ^ <br />S 5^iC:.ocjD <br />(c ril lA-U* «r- yv*'^ »CV.K.(L.< LKA/^Jf IC- U^V.-* f V*’ <br />yytj.tJ fl ronv..lQ-lJ-A^ ^l^SrC/7 bSavT* Ufl,ii^cu-T <br />cklr C^r.gTtL/r»jri •/ _____________ <br />iiiaAictw^. JL^i^Kuj tuTxwL Ix>a,.-pUJ <br /># <br />on 19 »