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5 <br /> � PC ExhibitA <br /> ; j � <br /> City of Qrono <br /> Variance Application <br /> Street Address: Application# (� � � �3�1 <br /> ��� 2750 Kelley Parkway Date Received: r}� <br /> Orono, IVIN 55356' <br /> 0 a� 0 . Staff: �7 <br /> Main: 952-249-4600 Fee:� $600 � <br /> a � ,, • � fax: 952-249-4616 Renewal: $250 � <br /> ��t �ti�' . MailingAddress: After-the-fact: $1,200 Doubie Fee <br /> �k'ESH��'� P.O. Box 66 Escrow Fee: $600/$2,500 <br /> Crystal Bay, MN 55323-0066 <br /> This application form must be completed in full. Appficant 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 WFORMATION: <br /> Site Address: 5 t/h S Gr'�,F� 1 �l�c.� <br /> Property Identification Number(PIN): I"7- t1� - Z3-�13-a a%/ ' <br /> Date Property Acquired (month/year): �L v ❑ Yes, I own the adjacent parcels. <br /> Zoning District: L, � - I G <br /> APPLICANT INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: �G-s,;., L G r So�s � <br /> Phone (home): ('nl2- zo�- 1�2� Phone (work): <br /> Complete Address: 3�i gs G�-is�l ���e.�. �s✓�•,z.,.�� �.,,,, sss9� <br /> City, State & ZIP �w�,y�,,t-t - lv��-, . SS3�/ � <br /> Email: v��T„= vs,q. a1 �,�.,�Q;/• �o,�, Fax: <br /> OWNER INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: SG�-,e �r a ��v� <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 /> L�c- c�-e�ti� Si�t S���-,�..c,� -�-e� S' c,v�c� e�cc-c � �#-� <br /> 4,r...-c� �v�r{/ f'CC L�wc+=9z��'y'S i�►.'�:u� � n�v •c��-s lr�ca�,�•� <br /> �. �''?=��f�9't� <br /> GCT 2 100� <br /> . � - 14 � �1TY O'� �.�,�;�i�G <br /> ���. <br />