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' PC Exhibit A
<br /> CITY OF ORONO c��r�rc�o�orro
<br /> VARIANCE APPLICATION
<br /> Sfreet Address: Application# �5 `"37�
<br /> �.�,�'O 275D Kelley Parkway Date Received: (o -'F'{5
<br /> Orono, MN 55356
<br /> Staff:
<br /> Main: 952-249-4600 Fee: $700
<br /> ..► '' fax: 952-249-463fi Renewal: $350
<br /> ��, G�� MailingAddr�ss: After-the-fact: $1,400 Doubfe Fee
<br /> l�kFSH��� Crystai Bay MN 55323-0066 Es�row Fee: �700/�2,500
<br /> This application form must be com�le#ed m fu11. Applicarrt wiil be not'rf'iec!withm 15 days as to the s#atus of the
<br /> apphca�on. Incomplete applications will not be placed on Planning Commisslon Agendas.
<br /> PROPERTY INFORMATION:
<br /> Site Address: L��,,q.,� �,�.�,N �,L�il,�.c„p ,q..,� r�lb��DF 44r J
<br /> Property Identification Number(PIN): /ti/�
<br /> Date Property Acquired (month/year): �_ ❑ Yes, 1 own the adjacent parcels.
<br /> Zoning District:
<br /> APPE.ICANT INFORMATION: {Complete legal names and marital status requi�ed for each interested party)
<br /> Name: 'Qow...� i. E�....a,rz.oS J�,z. cr�- ��6c.� L �xc� S ,
<br /> Phone: �s z� 2y g _yG� Alternate Phone:
<br /> � _..n ..._. —
<br /> Complete A�'dress: �'�� Y�LLt'Y ��4rca.��Z _ , _,_
<br /> City, State & Z1P p ,v
<br /> Email: c���.,dr�?sC�_t:. e��. M�.,. ..rs Fax: �5'�� � -
<br /> OWNER lNFORMATION: (Camplete legai names and marital status required for each interested party)
<br /> Name: C ,ry �)� o2r�..h�
<br /> Phone Alternate Phone:
<br /> Complete Address:
<br /> City, State&ZIP
<br /> Email: Fax:
<br /> DESCRIPTIQN OF REQUEST:
<br /> Describe the request in detail (attach additional sheets if necessary):
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<br /> Packet Last Updated.• January 2078 � � � ��
<br /> Peg�e 11
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