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' Council <br /> , � Exhibit A ��C�I��p <br /> C It Of O 1"O 11 O MAY 17 2011 <br /> � CITII OF ORO�JO <br /> Variance Application <br /> StreetAddress: Applicafion# � � —�Oq . <br /> ,�`Q� 2750 Kelley Parkway Date Received: G,( � � ��� I <br /> Y' Orono, MN 55356 <br /> 0 � Staff: ��1/� <br /> Main: 952-249-4600 Fee: $700 <br /> � � fax: 952-249-4616 Renewal: $350 <br /> ��,� Gti`5r MailingAddress: After-the-fact: $1,400 Double Fee <br /> 9kESH0�'� P.O. Box 66 Escrow Fee: $600/$2,500 <br /> 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 P{anning Commission Agendas. <br /> PROPERTY INFORMATION: - <br /> Site Address: 3�/��/ Cc'�.5� �,� j/�, , aYG/10 , �'�� ��3 Sb ' <br /> Property Identification Number(PIN): p 5-�!7 ' �3 -i 3-Q'D�� <br /> Date Property Acquired (month/year): ❑ Yes, I own the adjacent parcels. <br /> Zoning District: <br /> APPLICANT INFOR ATION: (Com ete legal names and marital status required for each interested party) <br /> Name: �/'�i � � '� �r '. �� <br /> Phone (home): S - 6- Z2�3 Phone (work): q5�-�j Zg 39 3q <br /> Complete Address: ���� �a� (,�� S{v , L�Ir��10 , N�ti �S3�� <br /> City, State & ZIP (��h p �1.�� h���b <br /> Email: �Yc`�,d!!e/J����1e�zn�5ules, Cv✓V� Fax: ys'z-yCDy- /�� � <br /> OWNER INFORMAT�ON: (Complete legal ames and marital status required for each interested party) <br /> Name: �� � t � d Ke <br /> Phone (home): �2- �,- 3 Phone (work): ���-�jZ�'-3y 3�z <br /> Complete Address: �,�.��( (�� 5 - <br /> City, State & ZIP !�1 ' <br /> EmaiL• Y�'cll�� � G� �t Fax: �jS,�-�0��1-I��,,3 <br /> DESCRIPTION OF REQUEST: <br /> Describe the request in detail (attach additional sheets if necessary): (,t��jQ�'lj��,�-�✓ <br /> u,i f ` DY q <br /> � 5 • 5 - �, <br /> �` X 7` <br /> � � i�� , <br /> Y° �i �z �' e ���rn � `�i�. d .d 51 <br /> 7I�P G� ' �,�i��.��liwr►�. Tr�r�C�iQu,fuica � nLd ���f��F.c�d�,� v'oa (�e or�G <br /> ` � r � � f � a.c <br /> SYv�i.�nu'e - <br /> . -�2- �� _ . <br /> i�� ^ J ` <br />