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PC Exhibit A <br /> C1TY OF QRONO <br /> VARIANCE APPLICATIQN <br /> Sfreet Address: Applicatian# 1�� � �� <br /> ��.�"Q 2750 Kelley Parlcway Date Received: � <br /> Orono, MN 55356 � <br /> Staff : <br /> Main: 952-249-4600 Fee: $700 <br /> � � fax: 952-249-4616 Renewal: $350 <br /> �, ° ti MallfngAddress: After-the-faci: $1,400 Double Fee <br /> G <br /> t�xESH�4� Crystal Bay, MN 55323-0066 Es�xaw Fee: $700!$2,50Q <br /> Tfzis applicat+on form must be completed in full. App�icant will be nofified within 15 days as to the status of the <br /> apptication. Incomplete app[ications will not be placed on Planning Commission Agendas. <br /> PROPERTY INFORMATlQN: <br /> Site Address: � N e C�. 51�� t L ��•Z u� <br /> Property Identification Number(PIN): A � 1� ,. ZS_ Z' dp{ t — <br /> Date Property Acquired (month/year): y/ts- p Yes, I owra the adjaoent parceis. <br /> Zoning District: <br /> APPLtCANT INFORMATiON: (Complete legal na es and marital status requ�red for each interested party) <br /> Name: �t c.1�y►B.� � �r�4v��,�. u�.c;.���+ - w•a�r3e.d <br /> Phone: 6{Z, . SS Alternate Phone: <br /> Complete Address: � 6 . 2 G. `'�O�'Z' <br /> �y <br /> City, State 8 ZIP }� c„t-� <br /> Email: �' \ Q araha�G.� �,.t?► � /� . toa�ax: <br /> OWNER INFt1RMAT10N: (Comp{ete legal names and arital status required for each interested party) <br /> Name: i G � ► �G.� ��0`1 � . <br /> .� ,nSlc�i <br /> Phane , Alternate one: _ ?63 _ Z.�, �►oZZ <br /> Complete Address: Z�..� � <br /> City, S#ate&ZIP <br /> Email: • aQ-� * c Fax; <br /> DESCRIPTION OF REQUEST: <br /> Describe the request in detail (aitach additional sheets if necessary): u�;h� <br /> �� <br /> t �► c�► tc� c� a t V. n �. ` �.►'M <br /> �cx��t. roe� �s �� cy. wtw taat-aa� w��� a. c�,.� t' �'. <br /> Peckefl.ast Updated.• Jer►usry 2016 a ' ,� � �� CfTY OF ORONO <br /> Pege 11 <br />