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' y � PC Exhibit A <br /> � City of Orono <br /> Variance Applicatio �� <br /> StreefAddress: Application# O 7 ' � <br /> O�`O� 2750 Kelley Parkway Date Received: � � <br /> Y Orono, MN 55356 Amount Paid: �(op� <br /> 0 Staff: <br /> Main: 952-249-4600 Fee: $600 <br /> a �+ fax: 952-249-4616 Renewal: $300 <br /> �'� �ti`� MailingAddress: After-the-fact: $1,200 Double Fee <br /> t9'kE5804'� P.O. Box 66 <br /> Crystal Bay, MN 55323-0066 . <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 /> SiteAddress: �Sc,v C�1Sc� 1a �., 7`- �u9� Q�P�Nv �5534/ <br /> Property tdentification Number (PIN): _�d _/�7 - 2.3_ 2/- OG/v <br /> (Attach legal description to application if ot included on the survey.) <br /> Date Property Acquired (month/year): 9� o'� ❑ Yes, I own the adjacent parcels. <br /> Present use of property: �'Residentia ❑ Other � <br /> Zoning District: ,/ ,p � /C <br /> APPLICA NFORMATION: (C mplete legal names and marital sta us required for each interested party) <br /> Name: f�do..c� L �J � �c,eZA,"�� l��oN�qCO�f1 <br /> Phone (home): '7�3 L}-�.3- '�7 �� Phone (work): 7b3 Sa5- 3b �3 <br /> Complete Address: �.�o v �4S �'o F�n���" �o� C�,2dNv 5�39 <br /> Email: ��s�0 /VOvoNd�J�S��C a� Fax: ' �l� � ��53- ��o,�" <br /> OWNER IN�RMAT19N: `Complete legal names and marital status required for each interested party) <br /> Name: o •1 � �4 'L G�h h e V�i �QC v�� . <br /> Phone (home): �6 3 _ y y3. 7��� , Phone (work): 7 �'�S- 3-b �3 � <br /> � Complete Address: � Sr,G C'•9Scd �. tit� 0�1� <br /> Email: ��v�C'o�1� �t�htCy4�T.' �T Fax: �7�v�, �5.�- 74c�_S � <br /> DESCRIPTION OF REQUEST: � Estimated Project Cost: $ S vvc� <br /> �escribe tI�e request in detail (attach additional sheets if necessary : <br /> �O ` l�c. c.�.s e- � c o o.��r�o�f' �. . <br /> s'�'7 /S Tc.12� �Ss�-/Lc� L✓� !�t/oVG,� ���G 70 +4�5-e <br /> �ce� -y`- v-�� � .o ,bur.i.a�����w � E �.� S,�,ee� o� �a£r <br /> c T >� �v _ o w'. � . . <br /> o e � o ct�' n/ c.c t <br /> C ✓ �T!- O S ti a �- <br /> � <br /> 2. L u o w� T <br /> �-�+OL�� GGt �St/�S � <br /> �✓� wo�L� �.•� �v v��.� /1- ��� -�a itcco�s�rv�9T� <br /> a�� s��y ��� ,�� � b� �,� .� pog ,��� -� � ��/� <br /> �D�„ y�'L D�� /�/liD T�Lc•L y'4 N-� C72 /Yl'a7`��,t- �N L-A �J T�lA"�'_ <br /> v�.,�l -��� u�� ��`o A-d�s $� � , -L. tz�g��~����y . <br /> ,. �: . <br /> ' �:•�, '4'��� <br /> J�'•• v � , <br /> N � � <br /> '�` ~) <br /> S <br /> • , '�'•,. .w <br />