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�'� �F OR�No PC ExhibitA <br /> VARfANCE APPLICATION <br /> ���� Street Address: Application# �� ��� � <br /> �.�.N 2750 Kslley Parkway Date Received: !'Z/� �(p <br /> Q Orono, MN 55356 - <br /> Staff: �✓(G�Qit�--u <br /> Main: 952-249-4600 Fee: $700 <br /> � �, fax: 952-249-4616 <br /> 2 � Renewat: $350 <br /> F . Mai/ing Address: <br /> L P.O. Box 66 After-the-fact: $1,400 Doubte Fee <br /> `qk�s H o��� Crystal Bay, MN 55323-0066 Escrow Fee: $700!$2,500 <br /> This application form must be completed in full. Applicant witl be notfied within 15 days as to the status of the <br /> applicafion. Incomplete applications will not be placed on Planning Commission Agendas. <br /> PROPERTY INFORMATION: <br /> Site Address: O O �oH-1�J5 • �. <br /> Property Identification Number(PIN): � (— �� _ 2,3,.. "ZZ,_. 00 <br /> Date Property Acquired (month/year): ..�� ❑ Yes, I own the ad�acent parcels. <br /> Zoning District: <br /> APPLICANT INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: �( ���)b�_ � � �12�U� --, 1� 1 �. � <br /> Phone: SZ -1� -�� Altemate one: �p�2.,�{.��.. Z.Z--� C� <br /> Complete Address: E-, ��� <br /> City, State &ZIP ��-�� � <br /> Email: V� n ,e � Fax: c�5 2-- -� ZZZ <br /> �t`�5–{� @�t-� �d �v ,�:�;v� ��"Ot'►� <br /> �g � <br /> OWNER�MF�ORMATlON: (Complete legal names and marital status required for each interested party) <br /> Name: -�T� .� g ac C,Pr S�rN'T(l.�-G��- <br /> Phone �p S� 3p'3 3 �� o Alternate Phone: <br /> Complete Ad�ress: 22„Z U o•�-- <br /> City, State 8�Z!P (v�. o S r�.N �{J � <br /> Email: F�: <br /> DESCRIPTION OF REQUEST: <br /> Describe the request in detai! (attach additional shee#s if necessary�: <br /> �� �N � <br /> `YZ <br /> v�— --� , <br /> Packet Last Updeted: August 2015 � � Q 1 �j ���OF ORONO <br /> Page 11 V �T <br />