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C�-rY oF pRONo PC ExhibitA <br /> VARIANCE APPLICATIC�N <br /> � ~� Street Addr�ss: ApPlication# ,f�3 7 f � <br /> ��� �..��j 2750 Kefley Parkway Date Received: <br /> �� � Orono, MN 55356 ' - <br /> `M Staff: <br /> � Main: 952-249-480Q Fee: $70Q /, j� <br /> = a ' fax: 952-249-4616 <br /> `�t ! ' .: � Mailing Address: Renewal: $350 <br /> �-t . �.� P.O. Box 66 After-the-fact: $1,400 Double Fee <br /> • '�t >>+�'t' . Escrow Fee: $700/$2,500-. <br /> _____ Crystal Bay, MtV 55323-0066 � !v�g� <br /> This application form must be completed in fuil. Applicant wil! be notified within 15 days as to the status of the <br /> application. Incorr�pfete applications wiil not be placed on Planning Commission Agendas. <br /> PROPERTY INFORMATlON: <br /> Site Address: Zd(����'���S ..�y, <br /> Property Identificatron Number{PIN): -• - <br /> Date Property Acquired (monthtyear): �' � Yes, I own the adjacent parcels. <br /> Zoning District: <br /> APPLICANT IIdFORMATION: {Comp(ete legal names and marital status required for each interested parfy) <br /> Name: � � � �� <br /> c�'f�� ; <br /> Phone: ��`��Q, ���-� ternate Phone: <br /> Camplete Address: �' • _ " <br /> City, State 8�ZIP ' d - r � � Z� <br /> I=ma1: /o �' ��, �j _ Fax: Z� -G+Ol�,( <br /> OWNER INFQRMAcT ON: (Complete legal names and marital stat�s required for each interested party) <br /> Name:. q� �>sa��f <br /> Phone . � Aftemate Phone: <br /> Complete Address: / - 9�"�' `��� � �'� �2 . <br /> _ 2tJ�0 .�tJeR�~,�S ..�Y� <br /> �ity, State 8�ZIP _���� �� ��..�9/ - ,._ <br /> Email: _ ,iyff��ih�ti �� • , os� _ Fax: <br /> v - <br /> DESCRIPTION OF REQUEST: <br /> Describe the request in detail (attach additional sheets if necessary): <br /> i��D � . , -} ����_ <br /> � is �� � <br /> C S <br /> � <br /> -- '�' ,S �" - _ <br /> --— i <br /> - D <br /> _ 15 <br /> Packet Last UpdateU: August 2015 //■■ CI'�Y OF ORONO <br /> Page 11 �/�f. � � �� <br /> ��[ <br />