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. • , � <br /> t <br /> . , ' PC Exhibit A <br /> City of Orono � <br /> Variance Application , � <br /> Street Address: � Application# � ' ''• 7 d <br /> ,�`�� 2750 Kelley Parkway Date Received: f <br /> �y� O . Orono, MN 55356 . <br /> Staff: <br /> Main: 952-249-4600 � � Fee: � $600 � <br /> fax: 952-249-4616 Renew • <br /> �� ��`� Mailing Address: After-the-fact: $1,200 Double Fee <br /> � �`�'EsHO4'� � P�O. Box 66 Escrow Fee: $600/$2,500 • <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 ofi the <br /> application: Incomplete applications will not be placed on Planning Commission Agendas. <br /> PROPERT'1( INFORMATION: � <br /> Site Address: �?8S G.ac.r�:g �-H..�� a��, <br /> Property Identification Number(PIN): (7- 11-7 —a3 - a,�- C�C� � So <br /> Date Property Acquired (month/year): �� 1qKt ❑ Yes, I own the adjacent parcels. <br /> Zoning District: L��� �— � � <br /> APPLICANT INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: �cb '� kt��a 'D,.�;a . <br /> Phone (home): q;Z. ���_ q�,,-, Phone (work): <br /> Complete Address: �ZaS coe��•���K S�ts�.ct _ �s�„so � M� SS ,�� <br /> ' City, State & ZIP � . <br /> Email: �J��;Nb'�y�;.a �1 ao�. . c o� Fax: . , � <br /> . Svc.+ � 51'.�raoo 2. c a►� lc����A�la�,MSN�c ay �a.L�.Y.t'�C.Grp C:a�o�� �-�'� <br /> � OWNER INFORMATION: (Complete legal names and.marital status required for each interested party) <br /> Name: S..«w. «s ,yow�. <br /> Phone (home): . � Phone (work): <br /> �Complete Address � <br /> � City, State &ZI P <br /> Email: Fax: <br /> DESCRIPTION OF REQUEST: <br /> Describe the request in detail (attach additional sheets if necessary): <br /> � �sc-c..- 1+f•.ct�.�L �.wc�:v-F,� �E�rei\i� <br /> JUN � � 2008 <br /> • O <br /> _ • � - 14- <br />