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City of Orono <br />Variance Application <br />EXHIBIT <br />A <br />Street Address: <br />2750 Kelley Parkway <br />Orono, MN 55356 <br />Application# 07 -,3 2 l.,k::, <br />Date Received: <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 />------Amount Paid: _s~42=·0C=-""'--) ___ _ <br />Sfaff: 6T <br />Fee: $600 --------Renew a I: $300 ----'---=-------After-the-fact: $1,200 Double Fee <br />This application form 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 />APPLICANT INFORMATION: (Complete legal names and marital status required for each interested party) <br />Name: VO &Lr& 1) Cir: /n:1<1 ~ s <br />Phone (home): bS ; -~[(£; _ C'(}:EJS Phone (work): i£ ( :l .--;;b:50 -9,300 <br />Address: 8 ;;__ l q Q.e-A&,l{ Cc1tl~Zr <br />Email: "Jol~k\.V06UE @) hoT<JMa j I .. C-of-1 Fax: fvSi~ (,: ?f~ ,_ 4S"t5" <br />OWNER INFORMATION: (Complete legal names and marital status required for each interested party) <br />Name: [¼-'/U_J. i/ · , · -:-: I -Q -:.{- <br />Phone (home): lei±--2-:4-57~ e7 &Cv Phone (work): /-'ifc;O-(e 7h-8"32,3, <br />Address: ~C"I f.,,v /(/c'2__ S tDt;;_ fh/E; 'v/'16-,JO S O V , er,+V <br />Email: 13 MIL-'c t-1 ct.co_. COM Fax: 1.:... 5 -CJ-4s-_~,-ft:-<Pf.2 <br />DESCRIPTION OF REQUEST: Estimated Project Cost: $ I ;30u,ow ,CQ_ <br />Descri,be the request in detail (attach additional sheets if necessary): U/E-t;u'fJ/Ui--1 rO ' <br />BU.IL() ,1 /fn-1.G: OAJ 1tff'.: flpuvr--;D&PG/lrif, cs-~ OF it!G