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PC Exhibit A <br /> � RECE�_ <br /> Ci�r oF �RONa o� 2 o zo�5 <br /> VARIANCE APPLICATI4N ��0�°R0N° <br /> Str�et Addr�ss: Application# �� �79� <br /> ��.nj 2750 Kelley Parkway Date Received: 1� �o�p-�s <br /> Q Oronp, MN 55356 <br /> Staff: <br /> Main: 952-249-4600 Fee: $700 5' 7 <br /> � �j _ '�, fax: 952-249�616 Renewal: $350 <br /> �c. � Mailirtg Addrsss: <br /> G After-the-fact: $1,4Q0 Double Fee <br /> ��k�s H oa�, P.O. Box fi6 Escrow Fee: $700/$2,500 - <br /> Crystal Bay, MN 55323-0066 ���7� <br /> This application form must be completed in full. Applicant will be notified within 15 days as to the status of the <br /> application, Incomplebe applications will not be placed on Planning Commission Agendas. <br /> PROPERTY lNFORMATION: <br /> Site Address: 2 O 2.`� ���.a d p � �„� .�� <br /> Froperty Identifcation Number(PIN): \ -�t -'L.'�j t OUL � � � <br /> Date Property Acquired (monthJyear}: d 'l,o�,j ❑ Yes, I own the adjacent parcels. <br /> Zoning District: {��`G <br /> APPLICANT INFORMATION: (Cornplet,� legal names and marita! status required for each interested party) <br /> ►vame: J o�n t� �cCr <br /> Phone: �'1, .. � -p� A,Iternate Phone: (��'L_(y�-U--$��{ <br /> Complete Address: 'Z v1 .. t,jc Q <br /> City, State 8 ZIP Q{?s,n� MJ�y 30�� <br /> Emaif: ��T1G���.�e.t Q��. . c�nh. ' Fax: N lPt <br /> OWNER INFORMATIC�N: (Complete legal names and marital status required for each interested party) <br /> Name: St� q1�o� <br /> Phone Alternate Phone: � ' <br /> Complete Address; <br /> City, State 8� ZI P <br /> Email: Fax: <br /> DESCRIPTiON OF REQUEST: <br /> Describe the request in detail (attach additianal sheets if necessary): ���� Sc� �'� <br /> T� ar (,� �tRi C�`, C.v .� �}A!1v�cR.� Lu,ni�-(�+c. ` -LZ` <br /> c qta l 1� � ''R�► a� d.r�! � 1 "� Q i <br /> Z`� M a�� l 5� fuc, \ b l rM. <br /> � C,w 4�� G� � " •Sr � 1� <br /> -�-� 5. <br /> � lv` 4� 15 A�nr�a tt 8.. '�1,� ! ; �1�... ,,,}� <br /> h��+r►a N+r4�+ �� t . � u•�n�1ro�+ vt <br /> �l 4.�.�� .► . y R ,f e�►N, d i.A� ,� t-� k��+,c . T�t�j .,.�1 c �c <br /> '�+� l Ihcll�.tL �C�a l Ct/'t tif t(1�.V c� 1�11* [r w��s �.�^ .�it,� � r� �i.f- �+�„t <br /> Pscket tast llpdated� January 2015 <br /> Page 11 � � � �� '� <br />