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PC Exhibit A <br />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# / 5-3 7 ~ <br />Date Received: S-.;:it::, -IS- <br />Staff: <br />Fee: $700 --=--:--------Renewal: $350 --'--------After -the-fact: $1,400 Double Fee <br />Escrow Fee: $700 I $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: /)..7..'f: iS8,.1~R. ST. OR-c~o , µ_N SS~9l <br />Property Identification Number (PIN): /P -/ /7 -23...., 3 1 -cJ o ·7'-{ <br />Date Property Acquired (month/year): I.('/ a..,00 I □ Yes, I own the adjacent parcels. <br />Zoning District: ~ R ) ls 1 <br />APPLICANT INFORMATION: (Complete legal names and marital status required~or each interested party) <br />Name: :r-f¾tvtE':::. . \.l_\ER-u..' -.Jv-...l., L -\¾.~t::,\::,K.S,C)N u_~M.i+e.Ju:1::::1: <br />Phone: Loi :i... -~\:\ -:J-Y-4 )<' Alternate hone: L:,1~ 9tic, -Lt:&14- <br />Complete Address: / .2-&-':(: ~ R-1~\<.. st-D<Lc~ a k.N ,scf:~9 / <br />City, State & ZIP <br />Email: ::S,11'\. ~,\\,~R <" (:)+\bP\_W.(.\\. c:_~n----Fax: __ N_l1-A-________ _ <br />OWNER INFORMATION: (Comp~e le~al names and marital status required for each interested party) <br />Name: ~v-n-E"::>' ~. --'c\\LLlE:R... , <br />Phone t 0 1 ,__ ~ l 9 -::L <f-4-8' Alternate Phone: <br />Complete Address: Id--?-'{-% (Ll ~ s-\ <br />City,State&ZIP '.DQ,.oNa tc(N 5537/ <br />Email: Qi WI . =+\.\ \\,1. t' ~ -=0;\"\~ \u'....\,\. c. c:, n----. Fax: ---~-(-<\ ________ _ <br />DESCRIPTION OF REQUEST: <br />Describe the request in detail (attach additional sheets if necessary): <br />;'''. i \ <br />Packet Last Updated: January 2015 ;. ' ,~,, <br />Page 11 :/4:3746 <br />RECEIVED <br />MAY ? n 2015 <br />CITY OF ORONO