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PC Exhibit A <br /> G��r oF ORONo <br /> VARIANCE APPLICATIDN <br /> StreetAddress: Applicatfon# �5 "J�7,�.3 <br /> '���jO 2750 Kelley Parkway Date Recelved--�lZ•t5 _ <br /> arono, MN 55356 <br /> Staff . <br /> Main: 952-249-4600 Fee: $700 <br /> � �, fax: 952-249-4616 <br /> ,�, ti Mailing Address: Renewai: $350 <br /> G After-the fact: $1,400 Doubfe Fee <br /> l�k�SHO�� Crysta�gaY. MN 5�323-0066 Escrow Fee: $700/$2,�00 <br /> This applicatfon form must be completed in full. Applicant will be notified within 15 days as to the status of the <br /> application. Incomplete applications will not be placed on Pla�ning Commission Agendas. <br /> PRQPERTY INFORMATION: <br /> Site Address: j� °e5 �t,ynda 1�, �p� �ltg� �1� t��, J� _ �5�'f� <br /> Property Identification Number{PIN): d? - 11'?• 2 3•4 3- B � <br /> Date Property Acquired (month/year}: aad ❑ Yes, I own the adjacent parcels. <br /> Zoning District: L�-r �- <br /> �1PPLICANT INFORMATION: (Complete legal names and marital status required for e ch interested party) <br /> ame: �j�arrr�� �Si h C� 4.(.G � l�hica+�E . Sln���` <br /> Phone: -y�, , i AI#emate Phone: Z. � � <br /> Complete Address: c�G��� �.,� Y —��1b• �DOD <br /> t� a• I� <br /> City, State 8 ZI P � c c q+ ' �� <br /> Email: �►. @ ��►�rt a �e s i +h . rDN1 Fax: <br /> q52. �`7. 55sg <br /> OWNER INFORMATION: (Complete legai namas and marital status required far each interested party} <br /> Name: _ J�tw�s �.d K�t.lyK �yrk�r► ����++�I � W���� <br /> Phone 6 t 2 . 1 Z 3 � �'I'?'� Altemate Phone: <br /> Compiete Address: �l y �G�nd��� �p�,x �/�� <br /> City, State �ZIP . � z�, �, ��• ���e� ' <br /> Email: u, }11'.ih 0 j �o� , cs� � .�Fax: -- <br /> DESCRIPTION OF REQUEST: <br /> Describe the request in detail (attach additional sheets if necessary): % �n-,q.G� p ppU.py�! C� <br /> Padcet Lest UpdatBd: Jenvsry 2015 � � � � � <br /> PBae !1 <br />