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k ;.--- — - ----- ------ - -- --- -� -- __ ---__---•�-- <br /> — --- - --- -- --- ------- -- . -- --- - - - - - -- <br /> _ � __. __ ._. __, �._�. --- _ : <br /> , -.... � ,_ �. __ �.:-T-�-- � . _ <br /> : , _ , . . _. -. :: - , = p <br /> . -. . : C fxhibit A, ;.:. <br /> . City of, Orono � <br /> � � � Variance A lication <br /> ., pp <br /> . Streef Address: � � Appiication# �� ��i � � <br /> � ,�`�� -_ 2750 Kelley��Farkway .� Date Received: 1 <br /> Y' Orono, MN 55356 <br /> �- � • . Staff: G��� <br /> ' . Main: 952-249-4600 ,. 'Fee: $ 0 <br /> � � fax: 952-249-4616 Renewa. $350 <br /> �`,�, �ti . Mailing Address: After-the-fact: $1,40 ble Fee <br /> t.y .g,w P.O. Box 66 Escrow Fee: $600 2,500 <br /> k'EsHO ___Crystal.Bay, MN 55323-0066 _. _ <br /> This applicafion 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 /> PROFERTY INFORMATION: � <br /> Site Add�ess: 1095 Ferndale Road W. . <br /> Property Idenfification Number (PIN): 02-117-23-43-0023 � <br /> Date Property Acquired (month/year): � ' �" ❑ Yes, I own the adjacent parcels. <br /> Zoning District: LR-zA � <br /> �PLICANT INFORMATION: (Complete legal names and marital status required for each interested party) <br /> ame: `�i�'�! � ��Y <br /> Phone (home): �r��/��� �,� i�✓�� Phone (work): '� _�� /�'i'��/,i✓ `��' <br /> Complete Address: 440 Ferndale Road W. ' <br /> City, State & ZIP Wa zata, MN 55391 <br /> Email: f/Fv%Q,����%� C..��r �� Fax: �' - r J. ,� r �`' <br /> 01NNER INFORMATION: (Complete legal names and ma�ital status required for each interested party) <br /> Name: :_.._ . . . . <br /> � iG r,� ��r. . I,�G�f���� - <br /> Phone (home): C,� <`„��'�r� �S- ��� ; f_� Phone (work): 1V f� <br /> Complete Address: J 1095 Fer dalP xoad w <br /> City, State & ZIP Wa zata, MN 55391 <br /> � EmaiL . h/�/� - _ Fax: 1�/ . <br /> � DESCRIRTION OF REQUEST: <br /> Describe the request in detail{attach additional sheets if necessary): . � � . <br /> WP are requestirig a Lakeshore Setback VariancP, Hardcvver Variance, and a <br /> Floodplain Conditional Use Permit for our proposed new residence at <br /> 1095 Ferndale Road West. <br /> _ - _._, .. - ,_ .. �._, . .. :--' •.. _ _ � - 14'_ . . . ,, ., �. . . , ., . . .. . .. <br />