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, , , <br /> • � PC Exhibit A <br /> City of Orono <br /> Variance Application <br /> Street Address: . Application# � � ''� 7 d <br /> ��� 2750 Kelley Parkway , Date Received: r <br /> � O Orono, MN 55356 _ . <br /> � Staff: <br /> Main: 952-249-4600 � Fee: $600 <br /> fax: 952-249-4616 Renew • <br /> �� ��`4 Mailing Address: After-the-fact: $1,200 Double Fee <br /> r9k'ESHO4'� Crysta�Bay, MN 55323-0066 Escrow Fee: $600/$2,500 ; <br /> This application form must be completed in full. Applicant will be notified within 15 days as to the status ofi the <br /> appli�ation. Incomplete applications will not be placed on Planning Commission Agendas. <br /> PROPERTY INFORMATION: <br /> Site Address: 17 gr, G.NC•���A �+c�' ,,��„�o <br /> Property Identification Number (PIN): f 7- /I-7 —a,3 - a,o�,- C70 � 4a <br /> Date Property Acquired (month/year): lqa2 ❑ Yes, I own the adjacent parcels. - <br /> Zoning District: � `� � , . . <br /> APPLICANT INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: 3,kcb '� ktv�a 'D,.i�a � <br /> Phone (home): � q;Z. K��_ qzSo �" �' ' ' �Plione (work): <br /> CompleteAddress: �ZaS �a�s�•��Z� S�yct _ s�p�so M�.1 553�� <br /> City, State & ZIP <br /> Email: 9�'��N�'D..�;N Q aot . c oh Fax: � <br /> SvcN � St.�cwoo�. C o M K�v�N 0�1�a0 MSN�c oy a�L�,>cltiC.p[�O C!a�v � C_t�rt'"� <br /> OWNER INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: 5..�,,. «s �yvu�. <br /> Phone (home): Phone (work): <br /> Complete Address: . � <br /> City, State & ZIP <br /> Email: Fax: <br /> DESCRIPTION OF REQUEST: <br /> Describe the request in detail (attach additional sheets if necessary): <br /> 5�- �-H�•.ct�.�L �.wc�:v-f�� F�E� c�* <br /> JUN 1 � 2008 <br /> ., � , - 14- <br />