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, <br /> • PC Exhibit A <br /> City of Orono <br /> Variance Application , <br /> � StreetAddress: Application# 09'3�/� <br /> �Q� 2750 Kelley Parkway Date Received: - /S D9 <br /> Orono, MN 55356 <br /> 0 � • Staff: <br /> '' Main: 952-249-4600 Fee: $700 <br /> � �+ fax: 952-249-4616 - Renewal: $350 <br /> �'�� Gtii4 Mailing Address: After-the-fact: $1,400 Double Fee <br /> `�k'EsHO�'� , Crystal 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 of the <br /> �application. Incomplete applications will not be placed on Planning Commission Agendas. <br />� PROPERTY INFORMATION: • <br /> Site Address: %,LO ��`��"f���/�9 �Gv�'� <br /> Property Identification Number(PIN): <br /> Date Property Acquired (month/year): �' ❑ Yes, I own the adjacent parcels. <br /> Zoning District: %�1 j� � <br /> APPLICANT INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: %� " r �- �� ox �.� ' LTv /� �c--v�c/ <br /> Phone (home): - ��'' ' Phone (work): 7� 3 s�' ,jt�•,j"c)�y'� <br /> Complete Address: '7�,tU i�����,.,c,�t. �u�.-� . <br /> City, State &ZIP � ,: � �� , i t-'"s' � <br /> Email: ��a F�C r� �, � �: �� ` Gu� Fax: <br /> OWNER INFORMATION: (Complete legal names and marital status required for each interested party) <br /> � Name: ��P � ��9�.�� <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 /> G���C✓��.n /�'.�'a G/` �%�'•�G���1 � �'�'c�Y/'G G•'r'J y .�. �i.`��.l.. <br /> _ R��'EB1/€� <br /> JUN 2009 <br /> � (� <br /> • - 14- <br />