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EXHIBIT A <br />City of Orono <br />Variance Application <br />Sfreef Address <br />2750 Keiiey Parkway <br />Orsno. MK 55356 <br />Man 952-249-4630 <br />fax 952-249-4615 <br />Mailing Address' <br />P O Box 66 <br />Crysta. Bay. W.N 55323-;C65 <br />AtJD' catcn a 3^^^ <br />Date Received 7.2-i - c> <br />Arrour: Pa d /jQ Q ____ <br />Staff. SJ/'i n 1' tv ^ <br />Fee S6C0_____________ <br />Renewa'53C3 <br />A*te'-the-*a=t S1.2CG Dcu:> Fee <br />T*is aopiicat on form must be comp'eted in full. App cant will be noticed w-thm 15 days as to tne stat-s cf tre <br />application Incomplete applications will not be placed on Planning Commission Agendas. <br />Property Identification Number (PIN) /jff- //?• 4 s ‘I <br />(Attach legal description to app^'cation if not included on the survey.) <br />A . . «______________^Ak-.l. ^ t ^ 0%.m I A#*% IK A •Date Properly Acquired (month/year); fi • oZ. D Yes, I own the adjacent parcels. <br />Present use cf property: Residential □ Other ____________________________ <br />Zoning District ______________________ <br />APPLICAN-T INFORM ATOM; (C< <br />Name; S/ <br />(Complete legat ra-es and manta: status required for eacn interested party) <br />Phone (home) CtrP dc 7/ Phone (work), f, /Z- /•//- <br />Address; \9 Z T <br />Email: __________ <br />OWNER INFORMATION: (Complete :ega! names s*c mantai status required for eacn .nierested pany) <br />Name; <br />Phone (home); <br />JzlZlOV-_SiQ3LO <br />fe): r /4i~7/ rr,it <br />Address; ^<7.3 S <br />Ema.l__________ <br />Phone (v;crk): *7^ r 9~4r^ <br />DESCRIPTION OF REQUEST: Estimated Project Cost $ / <br />Describe the request in deta ’I (attach additional sheets if necessary): <br />/■ !C . r4/v»i-r liTtil -A/ -o V-- , <br />"Jh JJ\0* <Wv >A>-n f »3-v/V <br />4/1 cL <br />■ J tLfZJi hit.. CL. /(aA^Xi <br />if'L <br />#3044 •a 1 <br />Jii