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PC Exhibit A <br /> C�r�r oF ORo�vo <br /> VARIANCE APPLICATION <br /> Sirset Address: ARAlication# � "'� <br /> ��.N' 275a KeAey Parkway Date Received: <br /> Q Orono, MN 55356 <br /> Staff: ��i��yK,�tir <br /> Main; 952-249-4600 Fee: $7Q0 <br /> � '' fax: 952-249�616 <br /> �,�r�t �'� Mallfng Address: Renewal: $350 <br /> G After-the-fact: $1,400 Double Fee <br /> qkl"SHo�� P.O. Box 66 Escrow Fee: $700/$2,500 <br /> Crystal Bay, MN 55323-0086 <br /> This application form must be oomplefed in fu1J. Applicant wil! be notified within 15 days as to the status of the <br /> application. Incomplete applicatlons will not be placed on Planning Commisslon Agendas. <br /> PROPERTY lNFORMATION: ) �.� Z� <br /> Site Address: �j�g 3 � ,Sh o � .�T � � � � SS 39 / <br /> �roperty Identification Number(PIN}: <br /> Date Property Acquired month/year}: ❑ Yes, ! own the adjacsnt parcels. <br /> Zoning District: j � <br /> APrP�LICANT�Ia�OR ATIO�}:�mplete legal names and marital status requfred for esch in#erested party} <br /> �l ��S.S l <br /> . none: Altemate Phone: <br /> Complete Address: <br /> City, State &ZIP <br /> Emaif: Fax: <br /> OWNER INFORM�'TlON: 'Com lete legai names and m rital siatu required for each interested par#y) <br /> Name: �o +� �� �(nC,3�i vt Q �-�SS��r" <br /> Phone 2 — �'--' �� Altemate Phone: <br /> Complete Address: j'2( 9 •'� S <br /> City, State &Z1P /� r}, r,J 3 <br /> Email: RQ55��'J oti Q Gr��'f ..t r� Fax: S� �3 �- �( Z 9 7� <br /> DESCRIPTION OF REQUEST; <br /> Describe the request in detail {attach additional sheets if necessary): RC �� �� � <br /> o����'� � G�do�rfi�.� Qv� L ur'Y"�"^� � 'G, `_ <br /> �`+9"'�"�rc � .`� <br /> Q�� r'{ ��� �.� ,k,�• c N�v�e v�fi <br /> 6--t S:���,�.�� . <br /> � `�-� �-�7--� � s,. <br /> .JU� 2 O ZOi5 <br /> Padrat Lest Updated: Jsnuary 201b '� 3 � �� <br /> � � cmr oF o�o�to <br />