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2'Atlibit A 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 # C~j ~ 3o \ \ <br />Date Received: L\ -2...I -Oi..i <br />Amount Paid: l (! 00. U1) <br />Staff : .:::} c~ r, r c.v <br />Fee: $600 <br />---'---:-:--,:-,:--------- <br />Renewal: $300 ---::~------A ft er -the-fact: $1,200 Double Fee <br />This application form must be completed in full. Api:;'.fcant 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: 1.1, CQ <br />Site Address: 'f 0 u <br />Property Identification Number (PIN): <br />(Attach legal description to application if ng_tincluded on the survey.) <br />Date Property Acquired (month/year): 01011 □ Yes, I own the adjacent parcels. <br />Present use of property.:, , i:1:~R~sidential 1 □ bther <br />Zoning District: kR-l /:i: ----------------- <br />0 1 <br />~..;"':;1...:11;~ ... .,