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, , <br /> ' . PC Exhibit A <br /> City of Orono <br /> Variance Application <br /> SfreetAddress: Application# I�—���j � <br /> �Q� 2750 Kelley Parkway Date Received: <br /> O O Orono, MN 55356 +,�„ „/G���J <br /> Staff: � ��� <br /> Main: 952-249-4600 , Fee: $700 <br /> fax: 952-249-4616 Renewal: $350 <br /> �� ���`� Mailing Address: � After-the-fact: $1,400(double fee) <br /> P.O. Box 66 <br /> `�Es8o4' ` Crystal Bay, MN 55323-0066 Escrow Fee: <br /> $2,500 new home/addition/ <br /> new structure � <br /> $ 600 other variance <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: .S�S�U.� Ca�Y�5Tf9-C. .d/�Y �� �19��7-l�"fl�, /��� ��` <br /> Property Identification Number(PIN): � � <br /> Date Property Acquired (month/year): 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: ' st� � �� i � <br /> Phone (home): ,� --3_o� Phone (work): ((,i�J�y=3/!� <br /> Complete Address: $aS � Cti°yST�C �Y ,e�1/f-� <br /> City, State &ZIP z �ly� g` <br /> Email: �igYr`TJi17 /�XS - �i�'�T- Fax: �;�1 ,�3`%"�/�2 <br /> , <br /> OWNER INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: S�j� - � <br /> Phone(home): Phone(work): <br /> Complete Address: <br /> City, State &ZIP <br /> EmaiL• � Fax. <br /> DESCRtPTION OF REQUEST: <br /> Describe the request in detail (attach additio�,al sheets if ecessa ): - <br /> ���� <br /> Last Updated: 10/16/2009 <br />