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a� .' :{� <br /> . <br /> �. � I <br /> PC ExhibitA � <br /> Ci#y of Orono � <br /> Variance Application <br /> StreetAddress: Appiication# �����5 <br /> ��� � 2750 Kelley Parkway Date Received: �-� - <br /> Orono, MN 55356 � �n <br /> � � , Staff: (� <br /> Main: 952-249-4600 � Fee: $700 <br /> a , � fax: 952-249-4616 Renewal: $350 <br /> �'.�t �ti`� MailingAddress: After-the-fact: $1,400 Double Fee <br /> `�'ESHO�'� P.O. Box 66 Escrow Fee: $700/ , <br /> • Crystal Bay, MN 55323-0066 <br /> - This application fiorm must be completed in full. Appficant will be notified�within 15 days as to the status of the <br /> application. Incomplete applications will not be placed on Planning Commission�Agendas. <br /> PROPERTY INFORMATION: � <br /> Site Address: . Z�gj� � �=:`� <br /> Property Identification Number(PIN): -- � -- 23- --� O O O <br /> Date Property Acquired (month/year): ❑ Yes, I own the adjacent parcels. <br /> Zoning District: (� �,p,� . � <br /> APPLICANT NFORMATIOFV: ( omplete legal names and marital status required for each interested party) <br /> Name: — <br /> Phone (home): (���_ �1�-- �.�.'�(p Phone(work): �'Z- 13 -Jg-Z-9"� <br /> Complete Rddress: � , <br /> City,�State ZIP ll..� • S � <br /> � EmaiL•" Fax: — <br /> OWNER INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: s� �L. � <br /> � Phone (home): 1 - '2$O- Phone (work): <br /> Complete Address: � . � <br /> City, State &ZIF ' ` �5'3 <br /> Email: Fax: � <br /> DESCRIPTION OF REQUEST: <br /> Describe the request in detail (attach additional sheets if necessary}: <br /> �' �0� �U� o . <br /> w \ <br /> . l <br /> VarianceApplication Updated: January31,20,2 JUN 2 0 2012 i <br /> � - 13- ��-�OF ORONO � <br />