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� • PC Exhibit A ' <br /> ; <br /> City of Orono <br /> Variance Application � <br /> StreetAddress: Application# C�� ���Z <br /> . ��� 2750 Kelley Parkway Date Received: ' "Z <br /> Orono, MN 55356 <br /> � 0 ' Staff: �l�i��?'� �J <br /> Main: 952-249-4600 � � Fee: $700 <br /> fax: 952-249-4616 Renewal: $350 <br /> �� ' ��ti`� IVlailing Address: ' : After-the-fact: $1,400(double fee) <br /> �`�'Es8o4`'� P.O. Box 66 Escrow Fee: <br /> Crystal Bay, MN 65323-0066 , $2,500 new home/addition/ <br /> . . � . new structure <br /> . _ . � $ 600 other variance <br /> - This application form must be completed in fulL Applicant will be notified within 15 days as to the status of the � <br /> appl�ication. Incomplete appfications will not be placed .on Planning Commission Agendas. <br /> �. PROPERTY INFORMATION:, ; � � � _ � <br /> Site Address: . �� �c�- ��� ��s.c .� , : <br /> � � Property Identification Numbe {PIN): ���- t 11 -a3 �`�1 � b6 t � � <br /> Date Property Acquired{month/year): " 1 - q.' b . Yes, I own the adjacent parcels. � <br /> .:. , . _ : � <br /> Zoning"Distcict: ` ; � - • � . .: , : .,,. . � � . • <br /> APPLICANT'INFORMATION: (Complete legal names and marital status required for each�interested party) <br /> Name: : � _ � <br /> Phone�(home): • . Phone (work): ; � <br /> Complete Address . . . . . <br /> � City, State.& ZI P � . _ �t . <br /> Email: . ., Fax:' . <br /> : OWNER INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: ������������SC�r�, � :. . . . <br /> Y, Phone (home):; . A�b�r ��a-�-��-�Z�6 C� Phone (work): � ,�i�°l.t,r �-�`o�� , <br /> � Complete Address: �a�� (���� �� . � 'Q�c� . - . <br /> � City, State &ZIP <br /> Email: -M - S� C> Fax: C��-- l.�'1l- \��,3 <br /> DESCRIPTION OF REQUEST: - � . � � , <br /> Describe the request in detail (attach additional sheets if necessary): . <br /> � � . <br /> Last Updated: 5/11/2009 <br />