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�� PC Exhfbit A <br /> CITY QF QRONO c�;-;- � <br /> �RONO <br /> VARIANCE APPtICAT10N <br /> Street Addr�ss: Application# � fp' 3 0�� <br /> '�,�.�� 2750 Keltey Parkway Date Received: <br /> Orono, MN 55356 <br /> Staff: <br /> Main: 952-249-4600 Fee: $70p <br /> a fax: �52-249-dS1fi Renewal: $350 <br /> 'y G�,'� Maiting Address: Rfter-the-fact: $1,400 Double Fee <br /> � P.O. Box 68 <br /> tqkESH04'� Escrow Fee: $700!$2,500 <br /> Crystaf�ey, MN 55323-0066 <br /> This application form must be completed in ful1. Appficant will be notified within 15 days as to the status af the <br /> application. Incomplete applications will not be placed on Plannina Commisslon Agendas. <br /> PROPERTY IMFORMATION: <br /> Site Address: 3� 1 �{ �i y 1 Yt 5�"b l'�, i�t)@_U�.l,l�� <br /> Property ldentification Number(PIN): �' �- -a3- � � <br /> Date Property Acquired (rnanth/year): t�. ��� : � Yes, I own the adjacent parceEs. <br /> Zoning Distr�ct: <br /> APPLICANT INFORMATION: (C�mplete le al names and marital status require fqr each interesteFd rty) <br /> Name: (� s C��t �� �Vl� wt��- C4s�e�.C�u. �o� <br /> Phone: s' - -� 3 �,,+1� AI emate P ne: _ _6 ,� K,o,,� <br /> Complete Address: / 'u` 5 � ►u(-e.. <br /> C ity, State 8►Zf P ��,�,� �j <br /> Email: c' �a��r�i i�,�10 p C�1'►��. Fax: r�0 n <br /> � <br /> OWNER INFORMATfON: (Co�plete legal names and �rital st�tus req�ired for eaah inter�st party} <br /> Name: ' r �.d`�. �3� �- �,,,c.�laa�. -, � �- of w-c-��. <br /> Phone -� --b� � ►,,�,,� Alternate Phone: �r �,�� <br /> Complete Address; ( L��� �.� <br /> c�cy, state �zip s-3 <br /> Email: ���c` �'i � it ('t�: •C_o n'l Fax: K <br /> G �' '' <br /> DESCRIPTION OF REQU�ST: <br /> Describe the request in detail {a#tach additional sheets if necessary): � 2. -��.� u��i � � � <br /> E)'E-�:���- s�D ex'I' U�S2 �S"'t � �t-1 'RC2 "� t� O t�J uS t�C.C�..�'_ � � ae 0 <br /> f 4 � t �l��J�uC�. i < «C `f'h� ` c S cL <br /> � � `�F. "� T�C1Q- �.D '� o GL� C tr.So ,J• <br /> ao �.� aa <br /> R�CE�VE� <br /> Padcef Laat 1Jpdated August 2015 <br /> �" DEC 1 � 20i� <br /> � 3 � � � <br /> CITY OF ORONO <br />