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<br /> ' • ' - _ , , � PC Exhibit A
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<br /> _ � � . City� of� �Orono , . : .
<br /> . _ . Variance ;Application : �. �
<br /> _ Street Addcess: � � ' Application# �� � 3 `f 7.�
<br /> �Q � 2750 Kelley Parkway . � Date Receivetl; �/�y�.b
<br /> � Orono, MN 55356 � � , _
<br /> 0 ° ,0 ' � - .' ` ` � .: y�Staff �: /`� '(...� ..
<br /> ` � " , � ,, Main; 952-249=4600 `� :. , . .:, , _Fee .. , ., : -
<br /> $700 ,
<br /> � fax: 952 249-4616 Renewal: 350
<br /> f �� ` ti`� '- � Mailin Address�-�' . ' .:.
<br /> ,� G g _ After-the-fact: $1,400(doubie fee) e _
<br /> ~ ` '� � ;P.O. Box.66
<br /> �EsBO'� . . � Escro ee: . ° • �
<br /> r . _ .� . . : Crystal Bay, MN 55323-0066 :, ` �
<br /> - _ : . `� 2,:500 ew horrie/addition/ < ,
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<br /> _ � � new structure
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<br /> " ;���`$� 600 other variance .,��
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<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._
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<br /> �� ' � PROPERTY INFORMATION:� ��
<br /> � Site Address. �,D 95 �'.ot- .. �e�h�' � °a� � ���� �l'� SS'�9� u
<br /> � _ `Pro ert Identification Number PIN -_` - �
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<br /> :� ' � Date P.ropertyAcquired (monfih/year). �� :` �� ��Zp �Yes, I own the adjacent parcels. . -
<br /> Zoning Distnct: ' ` -
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<br /> � t • :APPLICANT INFORMATION: (Completef�legal:names and marital status required for'each interested party)� . , '
<br /> Name _ �h� � h� e� - _ �
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<br /> � )• 5�- �-F 1=` o c� `. ' ° Phone (work)
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<br /> ' Complete Address ` 3 09�� �`.�s� a o�'�- �a Q��°j,,�T_�.�- �'Yi�7/ S53� I .
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<br /> `�.�J OWNER'-1NFORMATION: '(Comple#e legal nanies and m'arital status reguired for each interested,party) . - .
<br /> Name SAw.e=_ �:�s �/�l�-i��- � ` - y .
<br /> Phone home � • �
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<br /> Complete.Adciress - - -
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<br /> DESCRIPTION OF RE.QUEST., _ "� ._ , , ;_ .. .� :: . ., . _ :; �.
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<br /> Describe:the,re uest in detail , attach additional sheets if necessa ' -- •. � ��
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<br /> Last Updated: 5/11/2009 • , _ ,
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