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CITY OF ORONO <br />VARIANCE APPLICATION <br />Street Address: <br />2750 Kelley Parkway <br />Orono, MN 55356 <br />Main: 952-249-4600 <br />fax: 952-249-4616 <br />Mailing Address: <br />P.O. Box.66 <br />Crystal Bay, MN 55323-0066 <br />Council <br />Exhibit A <br />Application # / -3-794::, <br />Date Received: / - /77/,5 - <br />Staff <br />77Staff : /W 01 <br />Fee: $700 <br />Renewal: $350 <br />After -the -fact 400 Double Fee <br />Escrow Fe $700 $22,5'00 <br />V <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 Commission Agendas. <br />PROPERTY INFORMATION: <br />Site Address: 2qq d <br />Property Identification Number (PIN): <br />Date Property Acquired (month/year): ❑ Yes, I own the adjacent parcels. <br />Zoning District: L-42- t C, <br />APPLICANkINFORIOATION: (,Complete Legal names and marital status required for each interested party) <br />Name: . � O W9K4 t'-1�0&I S <br />Phone: q!52 -3 _ 423o Alternate Phone: <br />Complete Address:I.-iv <br />City, State & ZIP tAM5gtq <br />Email: cde�Qct <br />OWNER INFORMATIO : (Complete legal names 2nd marital status required for each interested party) <br />Name: 'C& LJ `G m �- <br />PhoneAlternate Phone: <br />Complete Address -r- <br />City, State & ZIIPC x ck <br />Email: m .fir !!P .I A _ n ''-t'F _ r•r,.. : .-..,i,.. _ . i--^ffFaX- <br />DESCRIPTION OF REQUEST: <br />Describe the request in detail (attach additional sheets if necessary): <br />tt96 CITY OF ORONO <br />Packet Last Updated.' Auu615 <br />Page 11 7 <br />