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City of Orono <br />Variance Application <br />EXHIBIT A <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 5532:;-'J066 <br />Application# (JL/-3057 <br />Date Received: 1 / 2,J <br />Amount Paid: JJ,-r,--'-fo+-b-o-. o-o--- <br />Staff : J4fi} 1 CE: <br />Fee: S600 ---------Renewal: $300 ---:----------After-the-fact: $1,200 Double Fee <br />This application form must be completed in full. Apr;·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: t:f_ ,----. ,-:, .-Site Address: ::.;~ led b ~::i-/::v,J\J <br />Property Identification Number (PIN): 'ZZ -t \ ]-23--3 ·1 -00() 4, <br />(Attach legal description to application if not included on the survey.) <br />Date Property Acquired (month/year): . □ Yes, I own the adjacept parcels. <br />Present use of pr~e~ □ R.~sidential AO,her \)Ac Pr:!:-,,,\, 1-fn::-.\ \) <br />Zoning District: ~l'!f:D/u& < lic-0 GJ'Jfi'?i<..> <br />APPLICANT INFOR TION: (Complete le8~a~es and marital status required for each interested party) <br />Name: <br />Phone (home): <br />Address: <br />Email: Fax: ----L.J~~_:c__Jl..!.l,,""-="J=""-,,~;....--'--'-''----"'-~--"-""'"'-"=,.,,,.- <br />ames a:-:d marital status required for each interested party) <br />Fax: <br />DESCRIPTION OF REQUEST: $ ___ _ <br />Descri