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�� EXHIBIT A <br /> . �ity of CJrono <br /> � Variance A plication <br /> � p <br /> � , <br /> � StreetAddress: Application# �f �.�C..��7% <br /> � O 2750 Kelley Parkway Date Received: LZ C� <br /> � �' � Orono, MN 55356 Amount Paid: � 1(a_ ��' <br /> Q � Q Staff: .��l�'/L.� <br /> ��-J � Main: 952-249-4600 Fee: S600 <br /> ����� <br /> ' �a �1��-�,. � fax: 952-249-4616 Renewal: $300 <br /> �',�, ��� � in\� �ti Mailing Address: . After-the-fact: $1,200 Double Fee <br /> � w P.O. Box 66 <br /> `�k'ESxo4' Crystal Bay, MN 5532�-0066 <br /> This application form must be completed in full. ApF�;cant will be notified within 15 days as to the status of the <br /> app�ication. Incomplete applications wi(1 not be placed on Planning Commission Agendas. <br /> PROPERTY INFORMATION: <br /> Site Address: /3�� D�on./0 G-,��V� <br /> Property Identification Number (PIN): <br /> (Attach legal description to application if not included on the survey.) <br /> Date Property Acquired (month/year): ❑ Yes, I own the adjacent parcels. <br /> Present use of property: J�T Residential ❑ 0=�ner <br /> Zoning District: <br /> APPLICANT INFORMATION: (Complete legal na�as and marital status reguired for each interested party) <br /> Name: ��,A��"3 � . /Vl�� S'[C-�2 <br /> Phone (home): b�2- �Z2- 96�d Phone (work): Gi2 � �a 3 - 3��9 <br /> Address: �7�d N�co��c; /� . S f /�t n�s . , M�N ���1 y' <br /> Email:Jn���sT�2. @2��rrz-�e�aNSrRUc-r��,�-Cd�,` Fax: 6i�- 9a3 - �as9 <br /> OWNER INFORMATION: (Complete legal names �-d marital status required for each interested party} <br /> Name: ,�/l t o��, � t''�7'��t t�i n�-�,��. <br /> Phone (home): �c,;�_ �/��= �';tf��(- Phone (work): �;/;� -�• ��s'"�= /��' <br /> Address: /3 o S p',l�o�v D !-�ru� } _ <br /> Email: Fax: <br /> 7ESC�IPTION �F RE�UEST: � Estimated Project Cost: $.�`�, �a'� =' <br /> Describe the request in detail (attach additio�al sheets if necess ry): r ` '��.-�,,.,, ,� <br /> � S e 1 0 . siC�^ �*v3�?� n4 A 'a� "Ar' � ,�v <br /> � -Y - � I nf -l: � /� 1� <br /> d —a--1 N►— � <br /> � � �_y�C?�P/,�n,r.�� �j2C��_ r�R.�r�r��.{� l��7�i�2 /�iti/j rlo�nt dnt�n A rV,�(.+J <br /> ,�d 1J � � a r?t . <br /> ni�rM �aro �� 1/'d J F >2 <br /> �TrA,�1oa>�,.� /l��i�� �E�d���"We�.--� A--� �1-5-� �'LElt.asa�.n9 1/aN=r�iv�- w�I� /�L.ii�7 <br /> ��!57�;��...� �'�ihrL�S T�' �i�� !�H W� m� WR a v6.ca� Z�e�J S?`'�C ,�- 2J�i Li N0�- <br /> F�tJT�PdS� fl� ��4 lttl�.. �aa�,o�,.a�,-- . .}– SrLF�� �1S ia �e u'r�� V�Se�3��-- <br /> svp��-�r�to� ANT � ' � T�� �� � �� — N��2.� <br /> � �,�n.�-�J Pt�Y riv ��e.ux„�'�� �n Q`LCC s -�-- �a�.�s?�, ��_ _ -- <br /> s�--� a-�� n�.;�,��._ �- �?�d��� ,.._ . . __._.. <br /> , ;a _ ,� 1 <br /> a, N j � _'� <br /> � ��' .� - <br /> ��r ., <br /> �„isr.. _ '-. . . . . <br /> lb iiYti. . � � � . ..� � � <br />