Laserfiche WebLink
PC Exhibit A <br /> CITY QF QRONa <br /> VARIANCE APPLICATION <br /> SfreetAddress: Appfication# � � � �� <br /> �0.� 2750 Keiley Parkway Date Received: '� <br /> Q Orono, MN 55356 — <br /> ' Staff: � (/ <br /> Main: 952-249-460a �ee: $700 <br /> � � fax: 952-249-4616 <br /> �t ' `'� Mailing Address: Renewal: $350 <br /> {' P.O. Box 66 After-the-fact: $1,400 Double Fee <br /> �k�SHO�� Crystal Bay, MN 55323-0066 Escrow Fee: $700/$2,500 <br /> This application form musf be completed in full. Applicant wiA be notified within 15 days as #o the status of the <br /> application. Incorr�plete applications will not be placed on Planning Commission Agendas. <br /> PROPERTY INFORMATION: <br /> Srte Address: G�OG',O G�Gl1�t17� .�Q,� �o <br /> Property Identification Number(PIN): �7 /��g � 3 l�� � <br /> Date Property Acquired (month/year): f� Yes, I own the ad�acent parce(s. <br /> Zoning District: �,��� �� <br /> 4PPLiCANT INFQRMATI�(Complete legai names and marital stafus required for each interested party) <br /> ame: a r <br /> Phone: G,t Z–�7 p - /� '7 Alternate Phone: <br /> Compiete Address: " -- <br /> City, State &ZIP ���o �� „�,�-�s� <br /> Email: � I CSSe(sS�r�'e.ce�S���jKg . Ga� Fax: - � <br /> � _ <br /> OWNER INFORMATION: {Complete Iega1 names and marital status required for each interested party) <br /> Name: '�'"' �f/ �!f 1� C <br /> Phone Alternate Phone: <br /> Cornpiete Address —�---- ---------- <br /> City, State 8�Z!P � <br /> Email: � <br /> , 6 Fax: <br /> DESCRIPTION OF REQUEST: <br /> Describe the request in detail (attach additionaJ sheets if necessary): ���_�_�T �9 <br /> Ili9.e%A�1C'E 7a CA�c.�Sy".,E>/.JG'7� � /jl4iC1lJ�'J�tJT S 6.�tJ ��¢r /.S <br /> G',�:� .. T�3l�tf i�- <br /> �� .S�tJ.9��' �'��7`��..�Gt�v� i:�� CCv�Js'r�'!J�'T.�r� lzYll t3�"' � <br /> /.�l 11�J9 .3i� � � 7���.f�� 7a E���C�` 7� <br /> - �' 11/GD�,tJ�" ��"�y�s/6"•u <br /> �'.�c�- �i� .,����-- .�'��rJG�.f3i�- ��'s���.Ba.�� <br /> AUG 17 Z01� <br /> Packet Last Updated: August 2015 C17Y OF ORONO � � � 7 � <br /> Page 11 <br />