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PC Exhibit A <br /> � City of Orono <br /> Variance Application � <br /> StreetAddress: Appiicafion# �g 3�0 <br /> O��� 2750 Kelley Parkway Date Received: IZ�[�"•(J"/ <br /> O Orono, MN 55356 Amount Paid: p ,pp <br /> Staff: V <br /> Main: 952-249-4600 F�.:� $600 <br /> '� � fax: 952-249-4616 �'� ` <br /> � ��� �p�F Mailing Address: . Renewal: $300 <br /> P.O. Box 66 After-the-fact: $1,200 Double Fee <br /> �'ES8o4' Crystal Bay, MN 55323-0066 <br /> This application form must be completed in full. Applicant will be nofified within 15 days as to the status of the <br /> app�ication. Incomplete applications will not be placed on Planning Commission Agendas. . <br /> PROPERTY INFORMATION: <br /> Site Address: ` ��� � s AL� j26�,,o A � _ � ,�-s.�'/ <br /> Property Identification Number ( IN): -/ - - /-.Op/D <br /> (Attach legal description to application if not 'ncluded on the survey.) . <br /> Date Property Acquired (month/year): S' / ❑ Yes, I own the adjacent parcels. � <br /> Present use of property: C�'�esidential ❑ Other � � <br /> Zoning District: <br /> APPLICANT INFORMATION: (Complete legal names and marital status required for each interested party) � <br /> Name: �921� .q.�o .�.-�-��.���'e,� ��v��z <br /> Phone (home): _ g J Z s!-�i �q�� � Phone (work): _S,�-L ��f! ]�,.,--J <br /> Complete Address: L ,J-�� A_ �,.�,a �,�, �� � , <br /> Email: � � ax: 9�-Z s��/ 5'�� / <br /> . OWNER INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: A2.[! fZ. �iw e_r''-'�2 rs— �I.�•����2 % `r�iLV c�`'�-� � <br /> Phone (home): c��-Z �7� ���6 Phone (work): � y,rZ ��� ���-�,- <br /> Complete Address: ,3 Z - C� s-� �to � . �,y ��� <br /> Email: �r�Gt �7��r ,' ��.�,�-, ,� �c.�r.� ��,,Fax: � �> . <br /> DESCRIPTION OF REQUEST: � Estimated Project Cost: $ f�, o e p <br /> Describe t�equest in detail (attach additional sheets if necessary): <br /> �' /� �'�o ��-�/��.� <br /> iv/v/^�c` /�9/...TS/ �j.� Gp�7^7,�,0 [�%f'�� <br /> / °"7-z i �'l,�'-r�v' �i-�A �.r� / J'`r�✓SJ"' �/�,.s/S' <br /> !���T� l/.$-', <br /> �'.�i2.rC ts'— �J,��:.�..� e'�-2 9��Z ��/ ��'�� <br /> �,t � �- . <br /> ,_ 4 <br />