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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# Q'o -3'37J <br />Date Received: G -1 9 -0 Y) <br />Staff : ~~ e.,.}-: <br />Fee: $600-=-/ _____ _ <br />Renewa:250 ~-------A ft er -the-fact: $1,200 Double Fee <br />Escrow Fee: $600 / $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 />Site Address: 7 C~ <br />Property Identification Number (PIN): :S &' ·* o-! : ri" ~ ·~ ;;; I t)Otl·;l,,"' <br />Date Property Acquired (month/year): ____ □ Yes, I own the adjacent parcels. <br />Zoning District: <br />OWNER INFORMATION: (Complete legal names and marital status required for each interested party) <br />Name: <br />Phone (home): ------------Phone (work): <br />Complete Address: <br />City, State & ZIP <br />Email: Fax: -------------------- <br />DESCRIPTION OF REQUEST: <br />Describe the request in detail (attach additional sheets if necessary): <br />RECEIVeD <br />-14 JUN 1 8 2008 <br />CITY OF ORONO