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' � PC Exhibit A <br /> cr�r oF C�RoNo <br /> VARIANCE APPLICATION <br /> 5'treet Address: Application# �j� �j7(�� <br /> '�.,� 2750 Keliey Parlcway Date Received: _C)(p j � � � <br /> �, Q Oronfl, MN 55356 <br /> S#aff: � <br /> Main: 952-249�800 Fee: 704 t ✓ct csc on <br /> a ' � fax: 952-249-�616 Renew . 0 <br /> "S�, Gti'� MailirrgAddr�ss: After-the-fact: $1,44fl Double Fee <br /> t,� sy P.O. Box 68 Escrow Fee: $700/$2,500 <br /> �FSH�� Crystal Bay, MN 55323-OQ66 <br /> T'hls applic�ion fam mus#be c�mpls�ed � fu4t. pppticar�t will be noti�ed wi�►i�n 15 d�y�as to tt�s sta#us of tt�e <br /> app�ic�talo�. Incomplete applications will not be placed on Planning Commission Agendas. <br /> PROPERTY INFORMATION: <br /> Site Address: �-{ �] 7� /l/��r �n(/2,� ��/' <br /> Property Identfication Number(PIN): <br /> Date Property Acquired (mont�ear): ❑ Yes, i own the adjacent parcels. <br /> Zoning District: ��r2-j <br /> APPLfCA INFORMATION: ( mplet legal names andr�arifal s#atus required for each interested party) <br /> Name: (,X' "1'O M�. S <br /> Phone: 2 O Altemate Phone: ( Z �. <br /> Complete Address: �,� <br /> City, State�Zl P � �/�, ^ <br /> Email: (` � �: r � <br /> O ib� <br /> �WNER INFORMATiON: (Com ete legal names and arital status required for each interested party) <br /> Name: ..`j/ <br /> Phone (o Z, � Altemate Phone: <br /> Complete Address: �IV'� <br /> Cit�r, State&ZIP o <br /> Emai(: t,,p Fax: <br /> DESCRIP710N OF REQUEST: <br /> Describe the request in detaif(attach additional sheets if necessary}: �• �, <br /> JUN 1 7 ZOi5 <br /> Last Updatsd: January 2014 <br /> � � � � � CiTY OF ORONO <br />