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� ' PC Exhibit A <br /> � City of Orono � <br /> Variance Application <br /> Street Address: Applicafion# � � -�.�`�( � <br /> ��� 2750 Kelley Parkway Date Received: [p-LZ-I I <br /> , O O Orono, MN 55356 <br /> Staff: �.(� <br /> � Main: 952-249-4600 Fee: $700 <br /> fax: 952-249-4616 Renewal: $350 <br /> �� �ti`� MailingAddress: After-the-fact: $1,400 Double Fee <br /> L`�k'EsHO4'� 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 Planning Commission Agendas. <br /> PROPERTY INFORMATION: � <br /> Site Address: � � <br /> Property Identification Number(PIN): �„�,, ?,g �, � ���� _ W���, <br /> Date Property Acquired (month/year): j0-�_ � Yes, I own the adjacent parcels. <br /> Zoning District: <br /> APPLICAN INFORMATIO : Complete legal names and marital status required for each interested party) <br /> Name: �riG..v�, �E�r 5' <br /> Phone (home):�1\ 6�1..-�.-`K�— (� Phone (work): °,S'Z— �y�3 _ 'Z��{,'°� <br /> Complete Address <<{'1,� ��,�,�,��,� (��, �� <br /> City, State & ZIP c3�,o� � �,,,��, � <br /> Email: Fax: <br /> OWNER INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: gr�c�,,,�, pr�C�r� <br /> Phone (horrie):�\t �i�2.-,�,�t.v -�1'`1t�2 Phone (work): �-7�- y73 - "73y� <br /> Complete Address: <br /> � City, State &ZIP � <br /> Email: . Fax: <br /> DESCRIPTION OF REQUEST: <br /> Describe the request in detail (attach additional sheets if necessary): ��,,,r-�c� �ri,�Le <br /> S��c.�hJ r� ���cs��c� �cwti.c�c�� <br /> - t�E EI�OED � <br /> t.��`� `�. JUN 2 2 2(i; I <br /> - 12- �`;rA!,� <br /> �.� .-- CIT'Y 0��RONO <br />