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, , �� ���� ,'.� �� '.�' <br /> � - c i ot c�r �� . �Y��`� � EXHIBIT ���: <br /> ty �,: �� ���� :5; �. <br /> :�....�- � A <br /> � Variance Application . <br /> � . --?---��?.- ;� <br /> Str+eef Address: Application# r.r . - � � � � <br /> � 2750 Kelley Parkway Date Receivec�i: . =�//�/�� � <br /> '�w �' Orono, MN 55356 Amount Paid: °� �� -�.�s ��-�c-� <br /> � O Staff: ,.'��� �'- H " .�;ri�,' f, <br /> � Main: 952 249-4600 ,Fee: ��$600-- � <br /> a �. fa�c 952 249-4616 Renewal: $300 <br /> `�� G�' MailirrgAddress: After-the-fact $1,200 Double Fee <br /> � � P.O.Sox 66 . <br /> '�'g�°g Crysta!Bay,MN 55323-0066 . � <br /> This application form must be completed in fu�t. be�`lace�d on PI nning CommissiontAgendass of tne � <br /> application. Incomplete applications wdl no p <br /> PROPERTY INFORMATION: , � �,�� � <br /> Site Address: � U D '' �' r >`�° � • <br /> Property identification Number(PIN):�� -- l/ 7— �-3 � � '— G�' �� . <br /> ` (Attach legal description to application �f not included on the survey.) <br /> Date Property Acquired (month/year): %� ❑ Yes, ! own the adjacent Rarcels. <br /> Present use of property: �Residential � Other <br /> Zoning District: 1 ,2 -- l 1� <br /> APPLICANT INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: �, . �' C� �s' <br /> Phone (home): ��l �5�. u�'� � �� �- Phone (wo�): �' _ �c - <br /> _ �. • (j c+• <br /> Address: �G�� j �z ° � � �� .� <br /> Email: i.� ���%s�� � .��/�c ; c:�-m Fax: 1.S� ���� <br /> OWNER INFORMATtON: (Complete legal names and maritaf status required for each interested party) <br /> Name: ,h � — ���-s� �� � �Su.s� - > dY,�C��v� <br /> '� / Phone (work}� Cv�d -� 7�1 � � � <br /> Phone (home): �j S� ��. � �' ��- � <br /> D � �� c> �s� -� 5 <br /> Address: ;aD � �^ Fax. ���S� %�3 .� �`� � <br /> Email: �/� � e��� t� �� r h s ` i�� <br /> DESCRIPTION OF R�4UEST: Estimated Project Cost: $ �,5 b dC)�.�� ' <br /> Describe the request in detail (attach additional sheets if necessary): L _;v <br /> �i�/ � �t C �%yr _ , � � <br /> � � <br /> � C> t%l� U / ''�� ' <br /> � � � ! � � l � _S l 1 � 4 �• � �. � � <br /> t 9 9 � <br /> �' " f" �7l.' . : , � � . . . <br /> / /� a%'./J t�f� � �%l �'!. " � �i7 n ' <br /> 'Y-C( �!� �� �1/'n /� � n v , r <br /> � � <br /> �� (� ��n i � <br /> / .S i c� , . • <br />