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<br /> � � PC Exhibit A
<br /> `
<br /> City of Orono
<br /> : - Variance Appl�icati�on
<br /> StreetAddress: � Application# � � �3��
<br /> �Q� 2750 Kelley Parkway Date Received: -C7
<br /> Orono, MN 55356
<br /> . � 0 Staff:
<br /> � ' Main: 952-249-4600 Fee: $600
<br /> � �+ fax: 952-249-4616 � Renewa: 250
<br /> �� �tii5' Mailing Address: After-the-fact: $1,200 Double Fee
<br /> ��'ESHOg'� P.O: Box 66 � Escrow Fee: $6+��90
<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 /> Site Address: ��%S �(�,�A f�.. �� -
<br /> Property Identification Number(PIN): '��` �f.�°��`�°��,� � � p��.d�
<br /> Date Property Acquired (month/year): � ❑ Yes, I own the adjacent parcels.
<br /> Zoning District: � � �
<br /> APPLICANT INFORNIATION: (Complete legal names and marital status required for each interested party)
<br /> Name: Sd�l� � �'��� �:'�'' �- �, �f�,.,l� � �,��'S�/�
<br /> Phone (home): ��;,,� ;;��� ��'-� � Phone (work): �; �,�E��
<br /> Complete Address: C,� �`�;" ��'i;�'��, ,�...�- I" • ` '
<br /> City, State &ZIP �,;,Y�,�°,°.�:�i��L �,�� �' �"17��'' �;�-r.�,� ,� „�
<br /> Email: ��1��i2 t��P2.. t`'a� �,����c�`J� �"'c�a,���� Fax: �f�.
<br /> OWNER INFORMATION: (Complete legal names and marital status required for each interested party)
<br /> Name: ° .
<br /> Phone (home): Phone (work):
<br /> Complete Address: � .
<br /> Cify, State &ZIP
<br /> EmaiL Fax: �
<br /> DESCRIPTION OF REQUEST:
<br /> ' Describe the request in detail (attach additional sheets if necessary): ��(� �,L�=�G��,�j � �, ��a,Q,
<br /> ,�� ��71�ef'� G��r�.�H�r�C�.� t�'�` ��F��� 7'�� �.���r�t/� �� �,��t�'�t cv�'� �'/��ae�r�
<br /> ��g���1� ��'V!� ��� �P�� ��'��...`�'.����'.a ,��� ��Fc.� �t��.���"�'c.a�u��°.� ��" .�d� �.°� T�
<br /> ���e�G�� �°�, �'��'�,o��] a�"��,� �a,+��'rt�'C�7,��t � � Gf..�ra P� r�`t� ���t`���2�` Y .� �r�.��
<br /> .��:°°F F?.�R�'dc� �� .�'� ;�a_ t�,t°�:.;� ��':'.���:�7 i �_�t�.��` �'���' �b'��'l�,.. 1.��� �. ���"
<br /> ',�,"`�. .�''�„ 1 ��:� ��'� ..i=`�x��E�`/izd�z°+ ,��C'1�'� E��e���.S�f� L:':CtI'�'����a En,e��� D� �'
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<br /> �'��..a°� F�r� �'�• �'��.,�., ��•;.�e_ a``�'-���` ,�O�I� .r'�`i/ �:��'��` �::�� �,�.�.7�i��t!_.�-/� ��`'' .dt'�"'t.�
<br /> �/F�-�I� �U _ ��.o�c.�o��... � °
<br /> .�
<br /> - 14,1UN 1 $ 2008 . .
<br /> CITY OF ORONO � �
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