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EXHIBIT A <br />City of Orono <br />Pre-Application Meeting Form <br />(This form is to be comptotod by a City Planner during your pre-applica>ion meeting *) <br />Street Address <br />27SO KeBey PailraMiy <br />Orono. MN S53S6 <br />Main 9S2-249^GOO <br />Fax 952-24?M616 <br />Mmtting Address <br />PO BoxGG <br />For Off. <br />Oty Planner <br />Crystal Bay. MN 55323-0066 M«>e(ir>g Oalc/Tirr« mjn <br />PC Dale <br />What is the purpose of a $>ro-^pplicaUon mooting? <br />Pre-application meetings aid the oppiicanl in preparing a complete proposal, inform thorn of the <br />procedures and requirements of the city code, and identify policies or regulations that create <br />opportunities or problems for the proposal. <br />IM?OPERTY INFORMATION: <br />:we Address: ■_________ . _______________________ <br />property Identification Number (PIN): dSH7ZAZ30 C/S________________________ <br />/-enlng District: 6^-/A_____Size of Property: _2t_l3, D53 S-'f -_______ <br />StiSCRIPTION OF REQUEST: <br />O Avpfage Setback ^iCSido Yard Setback □ Rear Yard Setback <br />U Hardcover ^ Lot Coverage ^^otArea <br />□ <>*her;_____________________________________ <br />D1 ' -w. setback <br />^Lot Width <br />Applicant ’s <br />Initials: <br />HARDSHIP: Applicant has received the Hardship Docurrtentation Form, <br />understands it as it has been explained to them. or»d is aware that it must <br />be completed aryj submitted in conjunction with their formal variance <br />application. <br />OTHER INFORMATION: <br />‘Please note*. Your variance application will NOT be accepted without a pre-application <br />meeting dunng which this form wilt be completed by City staff. <br />Applicant Signature:OJAaJLIlJ Dale: % Ma [ <br /># C: 1':JL