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' � EXHIBIT A <br /> � Coty of t�rono <br /> ! Variance A tication <br /> i pp <br /> � Street Address: Application# L����" ,��7l� <br /> O 2750 Kelley Parkway Date Received: �J l L L� <br /> � � Orono, MN 55356 Amount Paid: �lff�G�O. �•' <br /> 0 � � Staff: �j.!i��l�� <br /> �t i� Main: 952-249-4600 Fee: S600 <br /> a �' '�:`,�,. �. fax: 952-249-4616 <br /> � �� �:�'� ti Renewal: $300 <br /> ,�, .� r '�` Gti Mailing Address: . After-the-fact: $1,200 Double Fee <br /> �RkEsHOg'� P.O. Box 66 <br /> Crystal Bay, MN 5532�-0OG6 <br /> This application form must be completed in full. ApF�;cant wi11 be notified within 15 days as to the status of the <br /> application. Incomplete applications wiil not be placed on Planning Commission Agendas. <br /> PROPERTY INFORMATION: <br /> Site Address: �2�A��o S '- r-=-t__r�rx <br /> Property Identification Number (PIN): L:?,��-� .^�3��>-`� ����;I�; � C.�`-.'1;-I-�Z�'�:�-C�C�'I�� <br /> (Attach legal description to application if not included on the survey.) � <br /> Date Property Acquired (month/year): 1� ❑ Yes, I own the adjacent parcels. <br /> Presenf use of property: �esidential ❑ O�her <br /> Zoning District: <br /> Ott'�'U�- <br /> -� T INFORMATION: (Complete legal nar..�s and marital status required for each interested party) <br /> Name: Gi?EGare Y � S'�A,u.vE' ��jr�r:f� ,J � N f � � <br />. Phone (home): f, i z - go a - i 3 Sv Phone (work): �� 2 _ go 3 - i 3 fo <br /> Address: 3'7o G'o�F✓�E� Ro. , .v. P.��rti �,�A�H+ F�q 33�-0 �f � <br /> Email: GR�G�G�fr�4Ffo,JLs �=oRHFNriR�R�SES . co..t Fax: <br /> ,�PG'L��:A�/� <br /> �.INFORMATION: (Complete legal names �-d marital statu required for each interest,�d party) <br /> N ame: � lX-�t�. ��'fi�l����.v' - � �'l �t' . �r����_ r �L'- <br /> Phone (�e�' Phone (work): �'�� •-�{- -- <br /> Address: �-Q � �; �G �'-�I� ��/-���`��I�l/� ���?�G`I <br /> , <br /> Email: �X�Y�t'C�r� c`. c�.o � � zi.� Fax: �1'�-�' �-'�� <br /> DESCRIPTION OF REQUEST: ' Estimated Project Cost: $ <br /> Describe the request in detail (attach additional sheets if necessary): <br /> 1�-Ic� i��'� �� l-�oi�T���c� �-��= ✓�. v,-�;,�.►. ,�c c r'"��:'��=� _-��;��c- �'?�Z<<�3� <br /> � <br /> . 1 ��I "��� �?I,�1..1���,, — `-j1-1� Vl�''--I.�t�.�C:c �'�c'a�l _, . <br /> � ��-r ���z_� � ��r�-,�-t i�� ���.��.���rt-�r��.-r� �r�. <br /> ----� .�. , <br /> -z;�l�;, - . <br /> '� �'�� ��7 ��1 1��- �r 1�`;.1�1`�►C�-`� C'' -�."I/��-1��'��l•�1:��� 1 �.� C� —7� <br /> ....1!-'�� l.�ti�.J 'R '�I � �� <br /> t,�±!'� � 1�� � ��_-� l,�:I l� �?��-1_'-� C�.�r��--� �°v'�1��..,. �°-���5� �� <br /> '�=(�-�e�acx� , <br /> , � <br /> .� - ; ,_ ;K� <br /> , , � '� <br /> .` ,� � <br /> 4��r ' �- � � + <br /> ...-�� ...._ _ `,�:;�:��; <br />