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, PC Exhibit A
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<br /> CITY OF ORONO M�R 1820�5
<br /> VARIANCE APPLICATION ���`� �� °�����
<br /> Street Address: Application# 3 �3� �, �
<br /> �.��j 2750 Kelley Parkway Date Received: 3� $-
<br /> Q Orono, MN 55356
<br /> Staff: t'�(��
<br /> Main: 952-249-4600 Fee: $700 ���
<br /> � �. fax: 952-249-4616 Renewal: $350
<br /> �n ti Mailing Add�ess:
<br /> �' P.O. Box 66 After-the-fact: $1,400 Double Fee
<br /> tAkESHO�� Crystal Bay, MN 55323-0066 Escrow Fee: $700/$2,500
<br /> This application form must be completed in full. Applicant will be notified within 15 days as to the status of the
<br /> application. Incomplete appfications will not be placed on Planning Commission Agendas.
<br /> PROPERTY INFORMATION:
<br /> Site Address: j y � O C��2 y p���r � �,� � ��, S dC�y
<br /> Property Identificabon Number(PIN). � �r - � �7 - a3 -33�oo�)
<br /> Date Property Acquired (month/year): 4 �, ❑ Yes, I own the ad�acent parcels.
<br /> Zoning District:
<br /> APPLICANT INFORMATION: (Complete legal names and marital status required for each interested party)
<br /> Name: W L.�f�s G,�i� - M..4�lC 1�4-u2�
<br /> Phone: �5�..,�3 !e5-$J Altemate Phone: "7,L�- c{7g_ a�y o�,�,�`�
<br /> Complete Address: (�U !�Q x 3Sa '
<br /> City, State & ZIP Lo�t-�-T-� M�/' 353:�'7
<br /> Email: r,.� a,. k� ��1�.��(�e��e�s. c-o-.� Fax: �7(n3- �l`Z9- fv�.�, �
<br /> OWNER INFORMATION: (Complete legal names and marital status required for each interested party)
<br /> Name: Ke�'�✓ " �A m2G-��.�--,�
<br /> Phone � q�a - c�39-4 a� Alternate Phone:
<br /> Complete Address: Jy�p C�,��� ����
<br /> City, State & ZIP iyro G 2 oL�C D2.a,�/r�_ Mi� SS 3�
<br /> Email: ke v;�-k�r�.-�s�-r. �i7�,y► ��. � ax:
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<br /> DESCRIPTION OF REQUEST:
<br /> Describe the request in detail (attach additional sheets if necessary): ,�� �u�� �r� �
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<br /> . ; t � :... �. �,, # 3728
<br /> Paok�t L�st L7�idated: J�r►uary 2015
<br /> � Page 11
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