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. il ; . <br /> . . . <br /> �, ��`y �� O r•0 n� PC Exhibit A <br /> Variance '�A Iication � <br /> . pp <br /> Street Address: �i � Application# � '—]— 33� Q <br /> �Q� � 2750 Kelley Parkway �� Date Received:�`"�_(�_ p� � <br /> O O Orono, MN 55356 !� Amount Paid: (�,�oU <br /> Staff: FVP I �l/�—��r c�pJl <br /> Main: 952-249-4600 � Fee: $600 <br /> fax: 952-249-4616 ,t <br /> �� ��i4 Mailing Address: � I . . Renewal: $300 <br /> �`�k o��' P.O. Box 66 �� After-the-fact: $1,200 Double Fee <br /> �H . Crystal Bay, MN 55323-0066 , <br /> ; . <br /> This application form must be completed in full. Appl,icant 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 /> , � <br /> PROPERTY INFORMATION: �` <br /> i� <br /> Site Address ��q 5 �� x �.';d� e, �� <br /> Property Identification Number (PIN): v� �i `� �� - 23 - 13 -oo0 5 <br /> (Attach legal description to application if not included on the survey.) <br /> Date Property Acquired (month/year): S o 7� ❑ Yes, I own the adjacent parcels. <br /> Present use of property: �' Residential ❑ O�her , ' � <br /> Zoning District: �,(�. �, j� <br /> ,i <br /> APPLICANT INFORMATIORl: (Complete legal names and marital status required for each interested party) <br /> Name: �� o M a S 7 I��ele�, ; <br /> Phone (home). ���1 Z �QQ_;�oo2 � Phone (work): � I Z -��yq.� �� Z <br /> Complete Address: 1 q q � F o X (�.���, � yL d p r� ,,.,o �,.ti�,, ; y S T S6 <br /> Email: �-��� � C'qsa►esinc- Co� � Fax: � 6?- K�9 -3o�I <br /> . OWNER INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: ��r '�^ r-� . K'�P�I�e� (���r%;c.3 � � <br /> Phone (home). _ b t Z_86 7. .-?f o Z� �! Phone (work): � �/Z _,���_ 7 0 7� - <br /> Complete Address: s,,�,,,..`. !� . <br /> Email: ���.., K��ef cti � �-9 �,00 . Co,,-� l Fax: � <br /> ��. <br /> DESCRIPTION O.F REQUEST: � #� Estimated Project Cost: $ ��d ,°� <br /> Describe the request in detail (attach additional sheets if necessary): � <br /> _ .�a� ('d�r;c� � ;F-�o:. Fi'o�;�' sPo�. s�eP s �i' �orrl� ;•• f��.,t <br /> '��L P 0/T�G t� tA/r I I I T i[K �s u T /-►.,O�„C y S r e e T' � <br /> r � � ` <br /> ;f� . � <br /> — '� Se2 `'` `•p� w�jr.. '� ' 1{ <br /> � <br /> ,. r ,. . - ,{ <br /> � � � � _ <br /> � ii � <br /> I � � <br /> . � i <br /> . � t W,� � 4 ; � <br /> ;�,�� -�-y ���'� �`�= K . <br /> � � �� . �,� � r. ,E . <br /> �;. .�; . . <br /> ; . <br /> ; _ <br />