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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. Box66 <br />Crystal Bay, MN 55323-0066 <br />Application # 1 ·3-· -5& j q <br />Date Received: t / l f(fP l t ?:S, <br />Staff: M(l; . <br />Fee: $700 --'-------------Renew a I: $350 --'---------A ft er -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 />Site Address \'3l\L) 2:,(',0,.[ &e..e.,\; fr'~~,~ §'539 \ <br />Property Identification Number (PIN): \D\ \·:7=3'°= <br />Date Property Acquired (month/year): .j.,t; 'dCQ~ □ Yes, I own the adjacent parcels. <br />Zoning District: 1 <br />APPLICANT INFORMATION: Complete legal names and marital ,stat!.! s required for each interested party) <br />Name: · \. , ~ , o..r . -(\e..& <br />Phone (home): '15:'.l-l--f7G-/~D?iz . Phone. (work): Cf'S''d-7'-1 d-7<t'1S" <br />Complete Address: \3~D')SA r · -:Pe} ~ <br />City, State & ZIP On::;,()o . MN -S-:534\ <br />Email: :Se-':ti,c.o.,_jLrui\eJ:@ d,.lj\\: c·~ Fax: <br />DESCRIPTION OF REQUEST: <br />#361 <br />RECEIVED <br />,IUL 1 ·6 2013 <br />CITY OF ORONC