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PC Exhibit q <br /> � �City of Orono <br /> � � Vari�ance Appiication <br /> StreetAddress: Appiication# � ��ZY� <br /> ��� 2750 Kelley Parkway Date Received: ���.�i <br /> O O Orono, MN 55356 <br /> Staff: m(� <br /> Main: 952-249-4600 Fee: $700 <br /> � a fax: 952-249-4616 Renewal: $350 <br /> �`� Maflin Address: <br /> ,�G g After-the-fact: $1,400(double fee) <br /> �`�'EsBO�' P•O. Bax 66 Escr ee: <br /> Crystal Bay, MN 55323-d066 � $2,500 ew home!addition/ <br /> new structure <br /> $ 600 other variance <br /> This appficafion form must be completed in full. Applicant will be noti�ed within 95 days as to the status of the <br /> . appiicafion. incornplete applications witl not be piaced on Planning Commissiort Agendas. <br /> PROPERTY INF�RMATION: � � <br /> Site Address: ��Cj ��r���,��� _���y�/�� <br /> Property identification Number(PlN): <br /> Dafe Property Acquired (month/year): ❑ Yes, 1 own the adjacent parcels. <br /> Zoning District: <br /> APPLlCANT INFORMATION: {Compiete legal names and marital status required for each interested party) <br /> .Name: �.p��/' ��I�tD,fl�,u Y1/I.t�.n.r��if� <br /> Phone (hame}: _ °15'�°I�a2-�[aG�2 Phone (work): a`t��_ <br /> Complete Address: !' ���SL1oVYitt�tr�V�✓lV�e.� <br /> City, State 8�ZI P U,rUv�,/vt(�} �r 3 23 � <br /> Email: . Fax: <br /> �C5�t�1M�'•. �'Ctt��'Q.S�itA1+uS�' �A'1��S °v l�lorrl�c,�( •C�t `�522C�� •`I!o'�.: <br /> OWNER 1NFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: �sovvtfiGlS Gtit�jpv�} <br /> Phone (home): Phone (work): <br /> Complete Address: <br /> Cify, State &Z1P <br /> Email: Fax: <br /> �DESCRIPTION OF REQUEST: <br /> Describe fhe request in detail (attach additional sheets if necessary): <br /> 1N+�' v�t�1�v 1t�-�'_�(r,li �, �Uv►�br.w,-h° o�N' �Cl�na �fi'UGitnre,. <br /> -� J � <br /> ra�#' w'� ► <br /> "�'`��Ll9r9� '��'' �i'°�! , C`.c,yr' �-.�ii�fK� � <br /> =�'. <br /> Last Updated: 5/11/2009 <br /> A U G 1 9 2009 <br /> � CITY O� OROAtO <br />