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' PC ExhibitA <br /> Cr�roF ORONo <br /> VARIANCE APPLICATiON <br /> 5treef Addr�sss: AppiEcation# �5 '�J?:.�-+ <br /> �Q.�' 275U Kelley Parkway Date Received: �iZ. <br /> Q Orono, MN 55356 - - <br /> Staff : <br /> Main: 962-249-4600 Fee: $700 <br /> � '' fax: 952-249�616 Renewal: $350 <br /> �E+ �'� Mailing Address: After-the-fact: $1,400 Double Fee <br /> l,� �,G P.O. Box 66 Escrow Fee: $700/$2,500 <br /> k�SH�� Crystal Bay, MN 55323-0066 <br /> Thls application form must be completed in full. Applicant wilf be notified within 15 days as to the status of the <br /> application. lncomplete applications will not be placed on Planning Commission Agendas. <br /> PROPERTY INFORMATlON: <br /> Site Address: I � gs� tXno�a- ��, Iz�� �J'CS� �� z� JI�h• �53'jf <br /> Property Identification Number(PiN): D� • 117� 2 3•43• B �S <br /> Date Property Acquired (month/year): �p�z � d O Yes, I own the adjacent parcels. <br /> ZonEng District: _ L�-� � <br /> APPL.ICANT INFORMATION: (Complete legal names and marita! status required for e ch interested party) <br /> Name: �j{�t� r��� C�i h �d! �M L�G � N4!c•1��c . S�t�rx� <br /> Phone: y�, , �-� • � Aiternate Phone: �_Z. 5ib, °�000 <br /> Complete Address: G��d S +c c. !9s� <br /> City, State 8 ZIP � �G� qi�, � �,�, y a3 � <br /> Email: ►�Y�5�►7t,vv�� e S��ra. �le s iqh , C�1 Fax: 52� �67 �f�5 <br /> OWNER INFORMATION: (Complete legal names and marital status required for each interested pariy) <br /> Nam e: Ja��� �l K�,hcd ,, +N �.�n (� ,�,��I W,'f� <br /> Phone $ r 2. 1�.3 � $1�q Alternate Phone: <br /> Complete Address: f l�y ��pnd�.I� J�ph� 711�e s <br /> Cit�r, State &ZIP . ,� �� ,, �• 5�a q <br /> Email: w yt�l'�a 6 �o� � ce " Fax: -- � <br /> DESCRIPTIUN OF REQUEST: <br /> Describe the request in detail (attach additional shee#s if necessary): .�-, ._���.�y� p �p��1�� <br /> Packet Lest Updsted: January 2015 � � � 7 � <br /> n.,....„ '7 <br />