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� PC Exhibit A <br /> . . . - � .. City _of Orono . <br /> . � : � Va.rian_ce Application � � : , � <br /> . ,. . . <br /> , . a ., '.� .•Street Address ,.., - . _. - °Applicatlon# ��J�"�� l . - <br /> ����� ' : 2750 Kelley.Parkway ' Date Received; �-��'Q - <br /> �Orono, MN 55356 , � � . <br /> � � " • Staff: � � ( � <br /> Main: 952-249-4600 Fee: $600 <br /> �� � � �,r � fax: 952-249-4616. <br /> Renewal: $250 <br /> �ti`� MailingAddress: After-the-fact: $1,200 Double Fee <br /> �q'kESHOg'� P.O. Box 66 Escrow Fee: $60 ; 0� <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: _ . /�C�/ tF1C/ .i�f'l� � �o�F�t �2 c.7 � <br /> Property Identifi,cation Number(PIN): � <br /> Date Property Acquired (month/year): ❑ 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: � ��C. � , l c �' i,� <br /> Phone home : � � �, <br /> ( ) Phone (work): Qj,�Z Z`>c��-�.c��-- <br /> Complete Address , ,, � ' . • <br /> City, State & ZIP P; ��� cl � �'�3 � <br /> Email: �� ;- , Fax: <br /> < • _ <br /> OWNER INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: n ,�,.�,� � . � <br /> Phone (home): �? Phone (work): <br /> Complefe Address: <br /> City, State & ZIP <br /> Email: Fax: <br /> DESCRIPTION OF REQUEST: <br /> Describe the request in detail (attach additional sheets if necessary): <br /> CI 0 F' � ,�-(�,LC..�s�� <br /> . � <br /> u . <br /> � o <br /> . � ROAIC� <br /> � - 14 - <br />