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PC Exhibft A RECEIVED <br /> CITY OF C�R�NO MAY 2 Q_�015 <br /> VARIANCE APPLICATIC�N cmro�oRONo <br /> Street Address: Application# ,"J f-`j' � <br /> '�.�0 2750 Kelley Pa�lcway Date Received: <br /> Orono, MN 5535fi `,�� <br /> Staff: p � <br /> Main_ 952-248-4800 Fee: F$7Q0 <br /> � �„ fax: 952-249-4616 Renewal: $350 .4. <br /> ��, Gti MafGng Address: After-the-fact: $1,400 Double:fee <br /> l�xESH��� P.O. Box 66 <br /> Escrow Fee: $700/$2,500 <br /> Crystal Bay, MN 55323-0066 <br /> This appiicatlon form must be compieted in full. Appficant will be notifled within 15 days as to the s#atus of the <br /> appllcation. Incomplete applicatlons will not be placed on Planning Commission Agendas. <br /> PROPERTY 1NFORM TION: ' <br /> Site Address: t (� (��,..5� OSZC�.IA�� �fl ��ta�j IN�f.� <br /> Property identification Number(PIN): <br /> Date Property Acquired month/year}: �'.�—t5 ❑ Yes, I own the adjacent parcels. <br /> Zaning District: �� —�� <br /> APPLICANT INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: �,,,��-.��j�.�g�g� �r� <br /> Phone: ��2?,�Z` ���.,� �" Alternate Phone: <br /> Complete Address: <br /> City, State&ZIP � <br /> Email: ,,, �����,�t)� c��� Fax: <br /> S�� � �J..� �-I��Gon @c� • ,� � <br /> OWNER INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: ��r�7--� �'n�0 _ <br /> Phone � � �2_ 2�,_��b c�., Altemate Phone: ��� � <br /> Complete A�c�ess: t <br /> City, State &ZIP <br /> Email: �`�CzunZ`lo � A4-la�. �C�uw,,� Fax: <br /> DESCRiPTION OF REQUEST: <br /> Describe fhe request in detail (attach additional sheets if necessary): <br /> � C $ �'r1I Pt►i�d O� Si e �T re vi� ,SGt�a ck.f. <br /> GI�rV fll� ilv C toF1'�i.b ry( 1- Tlti�v�' �c�+a� Y�lid sCr �C� ' y jY�el� � <br /> Q� t @� �QSdNQ , .Sf�GG) S fi✓/�f (/b l��A �G. S� <br /> .� s �k �cc�u4// �c.t.rls a��^ rrr.� Ye v�i•cd se�6ac%r. <br /> :� IS !.v v+cr r� � c�s n� er.,caol u/d be C'o,c,rdcn„�ed, <br /> �.v I'r +ri�v .e.�t�'�tw /'�-�/1� �u r �ur i.0 t�. Ca,e.�'/u <br /> � � 4 d d ,� �. . <br /> e►'C�ar eXi'�' w ruc � ,tle`cr�.� �ac I'`�aVrd �4u �'�d�k/c� 4 .�J�4� �K <br /> h�r' � b c p/4ced o.v s�' a.csd cx��.rc o� /o� -�'rc /�i�i��f�u.r Gvc ,derd �6 e..ucw��.1�'fea�x� <br /> �t�er Co,v(�rhr.:�J .Se�bqckf. <br /> Padcet Last Updeted: Jenuary 2016 <br /> P�, i 1 .. � �"R n n .✓ir <br />