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City of Orono <br />Variance Application <br />EXHIBIT A <br />0\\ <br />Sfreet Address <br />2750 Keney Parkway <br />Orono, MN SS356 <br />Mam 95?-243^50C <br />(ax 952-249-«5‘.6 <br />Matting Address <br />P O Box 66 <br />Crystal Bay. MN 5532i-:ce6 <br />Application# __ <br />Date Received <br />Amojnt Pa d <br />Staff: I \ lCy‘ <br />Fee S600 <br />Renewal ,1300 _______________ <br />Aftcr lhe-(5Ct 5V200 Doupic Fee <br />Th.s aoDiication form must be completed m (o« Ape cant v/.ti be rot.f.ed w.iti.n 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. h,rcl\ <br />Property Identification Number (PIN).Property Identification Number (KIIN). <br />(Attach lr»qal description to application if not included on the survey ) <br />Date Property Acquired (month/year); 6 /V 7^ O Yes. I own the adjacent parcels. <br />Present use of property. ^Residential t3 Other ---------------------------------------------------- <br />Zoning District <br />arrt mar Ml status required for <*ach mterpst^ party)APPLICAhn INFORMATION: (Complete legal rs-es^ <br />^ V (• t P> IT r^ . r;vci« I , //1f^ i \ ^ iAddress <br />Fax 'aT- ^ ^Vy <br />OWNER4NFORMATION: (Complete leg^ names r-d mantal status rpqu -ed for each interested party) <br />Name A . -1- ~i w'n/< \ ---------------------------—-----------------------_ .r*-*—TTZrt i r. DH/nno /winrW)Phone (home) Ulh {'^1/7 ^ (work)" <br />Address: l^inis Lc) ^ H' .) ■://- <br />Email _______ -__________________________ <br />DESCRIPTION OF REQUEST: Estirr.aled Project Cost S /.4i:.C <br />Pesenbe the request in detail (attach additional sheets if necessar/): , ...--------------------------------------- <br />v^c-c rrfu,c /VfN-r cn /C (t^ fC^t------------------------------------------------------- <br />T #3064 '