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� ' PC Exhibit A <br /> City of Orono . � <br /> Variance Application <br /> Street Address: Application# p -- � <br /> ��� � 2750 Kelley Parkway Date Received: /— <br /> Orono, MN 55356 <br /> 0 � � Staff: <br /> , Main: 952-249-4600 Fee: $700 � ; <br /> � � fax: 952-249-4616 Renewal: $350 <br /> �L �ti`� Mailing Address: After-the-fact: $1,400 Double Fee <br /> 9kESHOg'� P.O. Box 66 Escrow Fee: $600/$2,500 <br /> Crystal Bay, MN 55323-0066 <br /> �dsv� <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: (I G5 �fZNDA�t.E RoA1� 1�1E5"r <br /> �:;. <br /> Property Identification Number(PIN): oZ - t 17 - Z 3 - �3 � O o Z!o <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: CH+qIZt.�'S Cut�1r� D�1�lovo � <br /> Phone (home): a,a , Phone (work): �j Z - s S q- /70 q <br /> Complete Address: ��,;~0 2 3 � �vL'. �llon.T�( <br /> City, State &ZIP p4,41/vtOCt71-F ; Mll.l S"S 447 <br /> Email: Sc�cµ-T C� C►�a,zc.�ccac�� . com Fax: GJ Z- CoO�- -/Zd� <br /> OWNER INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: 1YIAttY .T, bc�w J��..( T2uST ( l`�aaY CSnwMpn[ R/�t- �"rtusT� � <br /> Phone (home): y�Z- s�7 3 - 12'7 3 Phone (work): _5�Z- �`1 S- 4gso _ <br /> Complete Address: ���_��,o w�,( (�� Sa c,t7'b.( <br /> City, State &ZIP s <br /> Email: �Yjg�Z.G 80 � M�.G . [_�M Fax: y S Z- 9-75- � 4-5 <br /> DESCRIPTION OF REQUEST: ` <br /> Describe the request in detail (attach additional sheets if necessary): <br /> L AkE 5 �DE SETB�4-CliL- VArl2tad�CGE (�� .. r � VS '�S� -D�� � <br /> STR�T S t DE � �E 2N D�LC.E 1 S�T'BaCGL 'VA�'l.�A��UCE / 3 c�� �o •` �S .�0►'�o" , <br /> 1 u�cvK. La'T� L�ncE 5ETt3a�e� I/A�Yt,[A�n�GE ( 27�7� U5 3 0'- o'� 1 ���°', <br /> �'-�-a2n�o v�Z �A-rLc�ticc.E" <br /> ' �CP*CI\/G11 <br /> �AN �.s zo�2 <br /> - 12- � <br /> C�OF ORONO <br /> � <br />