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PC Exhibit A <br /> CITY QF ORONO <br /> VARIANCE APPLICATION <br /> StreetAddr�ss: Appiication# �.�'3� .S <br /> �,Q,�� 2750 Keliey Parlcway Date Received: �-aD-f� <br /> Otono, MN 55356 <br /> Staff: <br /> �' � Main: 952-249-4B00 Fee: $700 .� <br /> s fax: 952-249-4616 Renewal: $350 <br /> '��, ti'� Malling Address: After-the-fact: � 00 Double Fee <br /> l��ESH�4'�G P•p• Bax 66 Escrow Fee• 70p 2 500 <br /> Crystal Bay, MN 55323-0066 <br /> Thls application form must be completed in full. A.pplicant will be notified within 15 days as to the status of ths <br /> application. [ncomplete applications will not be placed on Planning Comrnisslon Agendas. <br /> PROPERTY IN�ORMATION: <br /> Site Address: . /613 Z 4�I�11n� ��' /�1""d� <br /> Property Identification Number(PIN): ��1'�-L3 -Z�-�I�/'� <br /> Date Proper#y Acquired (month/year): �- ❑ Yes, ! own the adjacent parcels. <br /> Zoning District: � - � <br /> APPLICANT tNFORMATION: (Complete legal names and mantal status requirea for each �nterested party) <br /> Name: r� <br /> Phone: . . Alternate Phone: /2 . P�_ �Z[�-� <br /> Compfete Address: „s- t � O O <br /> City, State & ZIP <br /> Email: ( .. � Fax: 763, 1-f'7�_ �1 <br /> OWNER INFOR�10 • (Complete legal names a�ci marita! status required for each interested party) <br /> Name: . n�n <br /> Phone v Altemate Phone: � <br /> Complete Address: �3 Z. dr,G ' ,�' � � <br /> City, State &ZIP �'p r . <br /> Email: - - - � Fax: . <br /> , _ <br /> . <br /> DESCRIPTION OF REQUEST: <br /> Describe the request in detaii (attach additional sheets if necessary): Q,ljw��tel" t t �v,�(?n� <br /> , <br /> ' ' 4�. £ <br /> v -T Ot� T � .e <br /> � 'f" � c <br /> r r�-• <br /> RECEIVED <br /> MA�� ? 0 .Z015 <br /> Packet Last Upciated.• Januery 20i5 � � � � � C O�ORONO <br /> mr <br />