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��� O� O���O PC ExhibitA <br /> VARIANCE APPLICATION <br /> Streef Addr�sss: Appllcation# �j�� ��7 ^7 / <br /> 'g.��j' 2750 Kelley Parkway Date Received: -�/ �j�s <br /> a Orono, MN 55356 �-�--- <br /> - Staff: <br /> Main: 952-249-4600 Fee: $700 �� S 3og <br /> � ° r �„ fax: 952-249-4616 Renewal: $350 <br /> .�r. _ Gti Mailing Address: After-the-fact: $1,400 Double Fee <br /> `�xESH��� Crystal ga�y, MN 55323-0086 Escrow Fee: $700/ 2,50 � 3� <br /> This application fonn must be completed In full. Applicant will be notified witt�in 15 days as to the status of the <br /> application. Incomplete applications wili not be placed on P)annfng Commission Agendas. <br /> PROPERTY INFORMATION: <br /> Site Address: 33�q Crrs-�a � ��_� ,�'r�1 �?�t��,'�Q.., $�S Q/ <br /> Property identificat�on Number(PIN): <br /> Date Property Acquired (month/year): Q�( ❑ Yes, ! own the adjacent parcels. <br /> Zonir�g Districf: <br /> "PPLICANT INFORMATiON: (Complete legal names and mar�tai status required for each interested party) <br /> ime: �v l� � � ��e�S 1��►� <br /> Phone: _ _ A!#ernate Phone: � <br /> Complete Address: 3 Q � <br /> City, State & ZIP yNu �, 0. 1�1 S <br /> Email: s U � � <br /> Fax: <br /> OWNER INF�RMATION: (Complete legal names and marital status required for each interested party) <br /> Name: , � ,e <br /> Phone �,�,Z_ ,SSiI - 2.q�{. Altemate Phone: <br /> Complete Address: �.. 5..�,�� Q <br /> City, State 8�ZIP a, <br /> Email: .,�M,�1' Fax: <br /> DESCRIPTION OF REQUEST: <br /> Describe the request in detail (attach additio�al sheets if necessary): ��s� ,+ � <br /> V4r SD �' � iaa ��t � <br /> � � � ...,� ,: ,- <br /> , <br /> . � c� , S <br /> �crrer�ast updated.• Janc�ery 2or6; � � �� a� � � � � � CITY OF ORONO <br /> ' d � '. ��" Page 11 <br />