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. � PC Exhibit A <br /> - City of 4rono <br /> Variance Application . � � <br /> Sfreet Address: Application# 4� " 3 3�� <br /> � 0� 2750 Keiley Parkway �Date Received: ''7 1$ o� <br /> Orono, MN 55356 Amount Paid: 00 .a 0 <br /> o � St'aff: <br /> � �, Main: 952-249-4600 . Fee: � $600 �—T <br /> � � � ��:z� � fax: 952-249-4616 Renewal: $300 <br /> �`,�, � ��''�, Gtiti Mailing Address: After-the-fact: $1,200 Double Fee <br /> �`�k'ES�r.o4`'� P.O. Box 66 <br /> Crystal Bay, MN 55323-0066 <br /> This applicafion form must be completed in full. Applicant•will be notified within 15 days as to the status of the <br /> application. Incomplete appficafiions will not be placed on Planning Commission Agendas. <br /> PROPERTY INFORMATION: t� � <br /> Site Address: �'.�,� �r��c�,iic�.. r,�� �'bn:o , //� J�3�( <br /> Property Identification Number (PIN): � �-_ i/ -�.�.�1/-q �y <br /> (Attach legal description to application if not inc uded on the survey.) . . <br /> Date Property Acquired (month/year): `' Q ❑ Yes, I own the adjacent parcels. <br /> Present use of property: l�Residential ❑ Other � � <br /> Zoning District: <br /> APPLIGAlVT INFORMATION' (Complete legal names and marital status r quired for each interested party) � � <br /> � � r <br /> Name: �; .� E S � ,� c,�. � n� � . <br /> Phone (home): �.��'j- �/- .� Phone (work): • �,1'� l " _ � <br /> Address: �('.�� � c�, � � �e.// G/oz- � - 6 <br /> Email: � ss � .r �ons Fax: <br /> OWNER 1NFOF2MATION: (Complete legal names and marital status required for each interested party) <br /> Name: � � � <br /> Phone (home): Phone (work): � <br /> Address: � � <br /> Email: • Fax: <br /> DESCRIPTION OF REQUEST: Estimated Project Cost: $ fr�G�,pO <br /> Describe the request in detail (attach additional sheets if necessary): � <br /> / ( o u�� a O f � �t s r c� o <br /> � — �' .ef (.v�� � .s'cc u. �' r er <br /> 4�i TT o � ci ai'Ol � ,C J' s �,, (' i � <br /> ' �( J' , ' <br /> L1�(dT � ' -p ! <br /> �" c�. � 4" d� t� - <br /> rJ S o ' �2 � � -� <br /> - � _ � . <br /> .a�:�, -.:..t „ y • <br /> r .. �__� �'�. .:h,.�. <br /> a . . , . <br /> ��, �+ ' F .,*>:. P'�'i. � �'. <br /> ri'e. j ' * °'�'�"31'` <br /> . ,S l:y,� �� Y �� , �I . <br />