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PC Exhibit A <br />CITY OF ORONO <br />VARIANCE APPLICATION <br />Street Address: <br />2750 Kelley Parkway <br />Orono , MN 55356 <br />Main : 952-249-4600 <br />fax: 952-249-4616 <br />Mailing Address: <br />P.O. Box 66 <br />Crystal Bay , MN 55323-0066 <br />Application# / / .. .3 S2,o / <br />Date Received :• 7 -;,. ~ -1 3/-. <br />Staff : <br />Fee: _$:..,,.7=-=------'"">-------- <br />Renewal : _$_3_5~0 ______ _ <br />After-the-T '"'-"-=-"'1 ,400 Double Fee <br />Escrow Fee: $700 I $2 ,500 <br />This application fo rm must be completed in full. Applicant will be notified within 15 days as to the status of the <br />application . Incomplete applications will not be placed on Planning Commission Agendas. <br />PROPERTY INFORMATION: <br />Site Address: rs 7~ B~ldvr-Pa..({<. f<:-d . <br />Property Identification Number (PIN): <br />Date Property Acquired (month/year): J)ec.. Zot? □ Yes, I own the adjacent parcels. <br />Zoning District: <br />APPLICANT JNFO~M~TION: (Complete legal names and marital status required for each interested party) <br />Name: L-h(lSf14f\ .:Jo hi\.$ CA ~ ge.ti-. ::ToltiC ,So.-'\ <br />Phone: '1S2-~ -zoo -q loo Alternate Phone: <br />Complete Address: ls7b 8.c:\...(J.uv P«.rt< p.j · <br />City, State & ZIP O ro.-,o /V'-N S S '$''1 l <br />Email: Ch.r1sjo~t'I.Sa.., 9LOO (! 3Mo..tl . CoN\ Fax: <br />OWNER INFORMATION: (Complete legal names and marital status required for each interested party) <br />Name: S°'-M e. Cl S Cl,~ov'e <br />Phone _______________ Alternate Phone: <br />Complete Address : <br />City , State & ZIP <br />Email : <br />DESCRIPTION OF REQUEST: <br />Fax: <br />Describe the request in detail (attach add itional sheets if necessary): <br />Rt~e,wi;tl 0t ~~rJ.cove.r Vctf".~111.c..e <br />Last Updated: January 2014 # 3 520 <br />RECEIVED <br />JUL 2 2 2014 <br />CITY OF ORONO