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, PC ExhibftA <br /> Ci�r oF ORallo <br /> VARIANCE APPLICATI4N <br /> Street Address: Application# <br /> '��,N'O 2750 Kelley Parkway Date Received: - <br /> Orono, MN 55356 <br /> Staff: /J��.. <br /> Main: 952 249-4600 Fe�. $7� <br /> ,a fax: 952-249-4616 Renewal: $350 <br /> ��, ti'� Mailing Address: After-the-fact; $1,40U Double Fee <br /> G <br /> j�xBSH��� Crystal Bay, MN 55323-006B ES�ro++v Fee: $700 I$2,500 <br /> This application form must be completed in fuil. Applicant will be notified wit�in 15 days as to the status of the <br /> application. Incomplete applications will not be placed on Planning Commission Agendas. <br /> PRQPERTY INFORIIAATtON: <br /> Site Address: 3�pq ��.� V��rg S7r t�k4x+� 1�11Y 5�c3�(o <br /> Property Identificat�on Idumber(PIN}: �„p��_��_+3.,a,� <br /> Date Property Acquired (month/ysar): �j �� ❑ Yes, I own the adjacent parcels. <br /> Zoning District: �Q� <br /> APPLICANT INFORMAT(ON: (Complete Iegal names and marita) status r+equir+ed for each interested party) <br /> Name: ysta 3 L� � V p��rrp�; <br /> Phone: ( 5� V4 Altemate Phone: (�,t� o'�t ���y <br /> Complete Address: � 1,�9` 3T_ <br /> City, State 8 ZIP 6 � <br /> Email: � .��L,� Fax: <br /> OWNER INFORMATION: (Complete legal names and marital status reguired for each interested party) <br /> Name: t N 3t�k+�o,,,t <br /> Phone Altemate Phone: (�l2 cp�� fi�3� <br /> Complete Address: � - .�� - � - <br /> Ciiy, State&ZIP p Y11f S53SL ' <br /> Email: �rN�Jgi�cw�,.�Qp,�-��..con�.. Fax: <br /> DESCRIPTION OF REQUEST: <br /> Describe the request in detail (attach additional sheets if necessary): b� � ���,� <br /> 7'3 �C GS'� � c� o� � 5 S ir 1k��lF <br /> � c� i.D B Q c� �JG,4'i � S o <br /> Packet Last Updatad: Jenusry 20t6 _ � � � �� Ct'TY OF ORONO <br />