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� ' � <br /> . ; <br /> PC Exhibit A <br /> City of Orono <br /> Variance Application <br /> Street Address: Application# �� • <br /> �Q� . 2750 Kelley°Parkway ' Date Received: 3 �j�-0' <br /> Orono, MN 55356 � <br /> 0 � � � � ..Staff: J <br /> • Main: 952-249-4600 Fee: $700 <br /> � <br /> fax: 952-249-4616 Renewal: $350 <br /> ��,nt Gti`� MailingAddress: After-the-fact: $1,400 Double Fee <br /> �k'ESHO�'� 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 of the <br /> application. Incomplete appfications will not be placed on Planning Commission Agendas. <br /> PROPERTY INFORMATION: � � ' <br /> Site Address: \Z�p ��.��,� � � ��� °C��1 S S3�� <br /> Property Idenfification Number (PIN): �'''-� —�\ � -- �3=3Z— Ob � <br /> Date Property Acquired (month/year): � -Z�-3 ❑ Yes, I own the adjacent parcels. <br /> Zoning District: -_z,z;��������� � <br /> APPLICAN INFORMATION: (Compl te legal names and marital status.required for each interested party) <br /> Name: Q <br /> Phone (home): S-�_ '�Z — S Phone (work): �Z— <br /> Complete Address: \Z. � ��S- �,,, � . � <br /> City, State & ZIP p� � �S3 <br /> Email: - , � � Fax: �S�— �ZZ— 9�s S� <br />� <br /> OWNER INFORMATION: (Complete legal na es and marital status required for each interested party) <br /> Name: S��.�.:. �s [�.� �. �� <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 /> � �= � �� vv�, �e... � <br /> 0.» � r <br /> �` - <br /> � J <br /> ` c <br /> - �a - MAR 2 � 2009 � <br /> F ^ �j �` -;; i <br /> �F-f� LP�' �F�Q[tlt.r�' . <br />