|
EXHIBIT A
<br />City of Orono
<br />Variance Application
<br />Street Address:
<br />2750 Kelley Parkway
<br />Orono, MN 55356
<br />Application # Dz./-Bv /7,
<br />Date Received: 4/2-1 /D q
<br />Amount Paid: Ii bbo-0-0
<br />Staff: Jlf1'/IL-G
<br />Main: 952-249-4600
<br />fax: 952-249-4616
<br />Mailing Address: .
<br />P.O. Box 66
<br />Fee: S600 --'---,--:--------Renewal: $300 --------A ft er -the-fact: $1,200 Double Fee
<br />Crystal Bay, MN 55323--0066
<br />This application form must be completed in full. Ap~:icant 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: 3··77 5'-'f;.AY5 .. I [JG Kc'J}~ D
<br />Property Identification Number (PIN): C)5 -· ii 7 -) '\ ·-) ½ --o I l 1
<br />(Attach legal description to application if not included on the survey.)
<br />Date Property Acquired (month/year): :(/oil-□ Yes, I own the adjacent parcels.
<br />Present use of property: l¥f' Residential 1 □ Other ------------------Zoning District: l,.R-1.A
<br />APPLICANT INFORMATION: (Complete legal na:-:-:es and marital status required for each interested party)
<br />Name: S t>ru,:.e.-H-·t JI ~f'»ev.~+.-i..e-5 , -;Cn. <--.
<br />Phone (home): ~t:;)--,)37<7J'if'-ds Phone (work): C:::,t;;..-5'i.)1'?;;-75D7
<br />Address: sao fc_:t,{tv. 5-r·' #J:(I tf-x.<-e..,,h. 1-::,r-I /J1A/ ... '.2) '3 ·s I
<br />Email: Jh(,A,tf::@ .5l:ol.4.-Ke-.. c.orr,
<br />1
<br />Fax: C/.5) .. --1-/cn --7l,o,J ..
<br />OWNER INFORMATION: (Complete legal names a:-:d marital status re uired for each interested party),
<br />Name: 5'PRi/C€. 1-/tt,L PR.af'C:1<?.'TIGS _I?,lC~-. c11,~••;i..z:::;12 APTE✓< S::/f;.-Dif ·
<br />Phone (home): '/_<;z_-z3-7 -2 <i05~ 'Phone (work): 6/Z _:Sc>g-_ 75"?::i ··7
<br />Address: Sc-o L--Ak::C s·:r:, :::tt:-z_, I l~XcG-!>lC/< J'l,JA,/ s~~--3' I , Email: ___________________ Fax:
<br />DESCRIPTION OF REQUEST: Estimated Project Cost: $ ----Describe the request in detail (attach additional sheets if necessary):
<br />VJ6 l?e4sve.-:;;·, 'Tc) 'f<G-tYJoO&L-7ll£ 9151//t/6 /,lr:;u5£ B'V 1ZG-PL~A-CIIV6 '17--Jt!E.
<br />'1<."C1 F SYS77E[V1 ANf> tlPPE:;e Ft-oo/< Lll/1/1/6 AIZE-AS,. 71/t.=.. i<.E..ft7<-)J?a&o f/ot.1.5£
<br />WILL JZ~At Al A I-~ s-,o,ey /--lovsrE., oN TW5 lEx1sT1/i/,:; 'fqo,p,e1A/ 1~ 711£ C.VRR£.1vT
<br />fr-'11NOAT10N A/\/o Fl/2Sr Fi..c.:t:>R W1tw-i: w,u... 06 f/SiEJ:> iN 7116 /1,/e:;;,w 5772c.1c71,11Z£ •
<br />A VA@IAIVCG IS /JIEt=.O&O 8Ec.-"A-US£ ·-rt-16 LAKe .S"G77sAC-K ANO 'f?.oAr:J .5£77?1/-C.iC s~·,H
<br />OV6:R..l-ltP w,;ti,AJ 71-16 CUIZRIE/V"'i f:z:Jo'TP/<l/1.f"T':, ·,1./0€G /5 NC// A-fVJtJ/eE' CcwFo/2111IA/~
<br />'5:,t77E ON -,Ut:: J..Pt ·'1C) '/ZGBV!i-0~
<br />t,iG~
<br />f~~
<br />J\~
<br />,)]~ l
<br />\ i
|