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� . PC ExhlbitA <br /> C��roF ORONo <br /> VARIANCE APPLICATION <br /> Street Address: Application# /� 377$ <br /> '���0 2750 Ke{ley Parkway Dafe Received: - Y—/S' <br /> Orono, MN 55356 <br /> staff : �../$ <br /> Main: 952-249-4600 Fee: $700 <br /> ,a► �, fax: 952-248-4B16 Renewai: $350 <br /> � - '`` Mailin Add►verss: <br /> � G� g After-the-fad: $1,400 Double Fee <br /> l��FSH��� Crysta/Bay, MN 55323-0066 Escrow Fee: $7UOc� � <br /> This application 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 Planning Cornmission Agendas. <br /> PROPERTY INFORMATl�N: <br /> Site Address: _2„qQ5 Ge�s c.m P�►i� Roo�c� <br /> Property Identification Number(PIN): o- 1l � Z3• 3 �- o orz � <br /> Date Property Aoquired (month/year): ��y ❑ Yes, I own the adjacen# parcels. <br /> Zoning District: T`,�,�ri � <br /> APPLiCANT INFORMATION: (Complete legal names and marital status r�uired for each interested party} <br /> Name: To a.��. <br /> P�one� 76 3— Z t 8 - T 3 7( Altemate Phone: <br /> Complete Address: Z,go S c..��co Pd„�t Ra.�c1 <br /> City, State &ZIP y�p,�:�+w M N b`s�3 q 1 <br /> Email: �aaa. ba�a..h Q f�o�..�c's . co.� Fax: <br /> OWNER INFORMATION: (Complete legal names�and marital status required for each interested party) <br /> Name: Te ad C��1�.+n <br /> Phone 7i ;.. Z t g - q;? t Altemate Phone: <br /> Complete Address: z,q o� �.�.r co po te � i2 0.�� <br /> City, State&ZIP wa,,�,��„+�+ MN �-S"34 J . <br /> Emaii: +o dC�. b�1w.+� e. Pel�.r�s , t0 ++'t F�x: <br /> DESCRIPTION OF REQUEST: <br /> Describe the request in detail {attach additional shests if necessaty): � j�k �e <br /> b,r.ti jo� o�. �*�e S'F4�a:yt 2 Ge.� G•�,rua ar� �re`r �lrf�'K� P�ivt wvy <br /> � _�wl�s�)C� �Ci'�'LaVt �4 SIN0.�� �'�f C!� �Nl� �►/�f e � '�'�'l� �I�iVC h/av "t'O <br /> A�!_Q►%+"�'�"�il�'1 �kt GA�rCK '("' Hw�d toven O��1a Crl SKI't � d'd Aa�' tYGCC� <br /> f. Th .r► . 1 c a v 5�t•.t ( s he 8 +�� P �+7 <br /> �'�'! 4. r��1 I�e P t �.s.� . � a C's�rt /{.a�t.,'� <br /> Auo � a zo» <br /> PacJcBi Last Updated: .1an�ery 2015 (+��'�'QF QFjQj�� '# 3 � � $ <br /> Pege 11 <br />