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. . REr�+f PC Exhibit A <br /> C��r oF �RONo JUL 22 2015 <br /> VARIANCE APPLICATiON G�°��oNo <br /> �� StreetAddr�ss: App{icati�n# � 5 —3 �`7 <br /> O 2750 Kelley Parkway Date Received: ZZ <br /> Orono, MN 55356 <br /> Staff : <br /> Main: 952-249-4600 Fee: $700 ,�. �6 �]S <br /> �► `��, fax; 952-249-4616 Renewal: $350 <br /> � ` Mailing Address: <br /> c�t Z, After-the-fact: $9,400 Double Fee <br /> ,�x�sH���, P.O. Box 66 Escrow Fee: $700/ 2,500 �� <br /> Crystal Bay, MN 55323-0066 � <br /> ��4 <br /> This application form must be completed in fuli. Applican#will be noti�ed within 15 days as to the status of the <br /> application. Incomplete applicatfons v�rill not be placed on Planning Commission Agendas. <br /> PROPERTY INFORMATION: <br /> Slte Address: ��� �j�j�- S�{--� <br /> Property Identification Number(PIN}: �� l� ''�Z,�,� � p�s'� ' � <br /> Date Properly Acquired (month/year): �g�� 0 Yes, I own the adjacent parcels. <br /> Zoning District: <br /> APPLICANT INFORMATlON: (Complete legal names and marital status required for each interested party) <br /> Name: � ?k-i.l a�' ��'t �vh fiz.�v '� <br /> Phone: �2 a da Aitemate Phone: Z � <br /> �ti I S 3 �� .�1 o c�c�g-��.. <br /> Complete Address: _ 1 '���ri�,r S��' <br /> City, State & ZIP Or�r o w�,c> S5'3� � <br /> Email: {L .� Z,.i � o Fax: �"2 - `'j 3 - <br /> OWNER tNFORMATION: (Complete legal names and marital status required for each interested parly) ��' <br /> Name: �S �; <br /> Phone Alternate Phone: <br /> Compiete Address: r <br /> City, State &ZIP <br /> Email: � F�: <br /> DESCRIPTI�N OF REQUEST: <br /> Describe the request in detai! (attach additionai sheets if necessaryj��.,,t •� "d���'" <br /> � i F` • f�G ' . � �j r� f.� <br /> d � � - {���� <br /> ('� 1 �. L. r <br /> � <br /> � <br /> padc.rc.astuQdered.• Je�uery2or5 f:, �'� `�'. Page r� # 3 7 7 5 <br />