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r <br />CITY OF ORONO <br />VARIANCE APPLICATION <br />PC 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 55323-0066 <br />Application# l {p-~ ~/ 4 <br />Date Received: () Z-I f2 I v:, <br />Staff : f.1 ~,{ tU----0 <br />Fee: $700 ~-c---------R en e w a I: $350 ~---,-------After-the-fact: $1,400 Double Fee <br />Escrow Fee: $700 / $2,500 <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 />PROPERTY INFORMATION: <br />SiteAddress: 000 ~oH105 fl. ~(.:). <br />Property Identification Number (PIN): l l;,-10 -:z_~-'2.. '"'2--00~ <br />Date Property Acquired (month/year): :3...--z..o15 D Yes, I own the adjacent parcels. <br />Zoning District: <br />APPLICANT INFORMATION : (Complete legal names and marital status required for each interested party) <br />Name: A~oee---~ ca:1?0Q12 -~u b , <br />Phone: CS--Z--:ib -~7 Alternate Phone: {,q l '2....::414-'?--Z... 7 <.e <br />Complete Address: E:. ~-, <br />City, State & ZIP ~ ~ ~b °I ( <br />Email : ~%0-fn @ ~~d~f~f\~f-0 Fax: c;y S 2-4c ~-8'1-~7.. t(v'~~tt\ @c:c\-.e,¼1.,~.e.~~crzS nJVf •U>~ • LCM--) <br />OWNER~ORMATION: (Complete legal names and marital status required for each interested party) <br />Name: . ,.....-(2,11:,L += (\,\,e u~ c;. A; SA-N,Cl.Ac.-l:r <br />Phone Ca S \ -)u"?, -") ~\ o Alternate Phone: <br />Complete Address: -z.·2.:2.. \-\9:N&tX\N fw'i,. S~'-'Tt\ frf'T 197 (:_ <br />City,_State&ZIP ~N~~> tl\.""1~~01 <br />Email: q:?':?Cv\-1:~h~-z~M-\ c~ Fax: ----------- <br />DESCRI PTION OF REQUEST: <br />Describe the request in detail (attach additional sheets if necessary): <br />~ = ~~u~B: <br />Packet Last Updated: August 2015 <br />Page 11 # 3814 <br />RECEIVED <br />FER 1 7 2016 <br />CliV OF ORONO