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` � PC ExhibitA <br /> � City of Orono � <br /> : Variance Application <br /> SfreetAddress: • Application# �� ''.�3�U V�-�• <br /> �0� 2750 Kelley Parkway Date Received: � i Z ('-( C� . <br /> Orono, MN 55356 <br /> � 0 - Staff: <br /> Main: 952-249-4600 � Fee: $700 <br /> � �+ fax: 952-249-4616 � Renewal: 350 <br /> �'�,c,t Gti�' Mailing Address: After-the-fact: $1,400 Double Fee <br /> .�k g,w P.O. Box 66 Escrow , <br /> Es.HO Crystal Bay, MN 55323-0066 <br /> This application form must be completed in full. Applicant will be notified within 15 days as to the status of the <br /> application; Incomplete applications will not be placed on Planning Commission Agendas. <br /> PROPERTY INFORMATION: <br /> Site Address: � I 27 GASC U CIPZG,E <br /> Property Identification Number(PIN): 2 D- I I`1- 23�3 �l- -Dbzz <br /> Date Property Acquired (month/year): S ❑ Yes, I own the adjacent parcels. <br /> Zoning District: <br /> APPLICANT INFORMATION: (Complete legal names and marital status required for each interested party) <br /> . Name: �: S'iaNE�/�o� � LLG <br /> Phone (home): Phone (work): (`jSz� �9�-SS�o <br /> Complete Address: � ¢0'7 WArYZ/�t��a- g wr�, <br /> City, State�&ZIP ST. �ov�s P!�!G �c1 S�¢Zlv � <br /> Email: L��� s�,✓Ew�oo , c�� Fax: qSz 97� / <br /> OWNER INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: � ���pEn.i�K C. E S <br /> Phone (home): Phone (work): GfZ 325- o0 <br /> Complete Address: 3( � C�-Sco c��c.�,E Te,,,,� ; Z'1 DO co di ew De.. <br /> City, State:&ZIP o,�aN ,�N s " �oN L.�- N 5�"3S6 <br /> Email: FPET�2S�dSEipi . co�. Fax: <br /> DESCRIP7`ION OF REQUEST: <br /> Describe tlie request in detail (attach additional sheets if necessary): <br /> l7u� ZD Tl4t�H' P��.E�n,�rT oF A�°l��vv�'D ��WCS covyt� Loc�`+-no..� A�v �1"s <br /> ]erF�`�'f"' °�tf �f FE D 2!V FW,4Fr ELE I/�'Z Dl� A-T T� F�0 i niT A�T W FhlG� Th`�"Y �9/L� <br /> 1./�A��Sr �AZ N o7rr�'rt� W E w o v�fl S v6m�r c1�.4a/G',N� /Sw��j�iNG n-f� A�O�u�/�U <br /> 22 �o oT � 5�-r Ba-�GC -rn �'�N�is �o u2T ,4�0�� �� N�oa-rx r��opt� GINE w r vrrt � <br /> �j�P Q 0✓� ?a �d v T S E'T �kL IG A L OAl f 7�F� Sd U'T�/ l�,Q o�OE�� L//✓� T�I'/S WO UG D <br /> v��c E �ri� 1'E�r n�cs co uQ-T" g Ge�r Fu�2TN��n- 7v 7t/�� 5o v Tff <br /> -14- <br />