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�,. <br /> � <br /> ,� PC Exhibit A <br /> City of Orono <br /> Variance Application � <br /> Streef Add�ss: Application# Z`�1� <br /> ,�`�� 2750 Kelley Parkway - Date Received: g• 1•t�- <br /> �% Orono, MN 55356 <br /> 0 a�r o Staff: (�.� . <br /> � t�� Main: 952 249-4600 Fee: $700 <br /> �t, �.. � fax: 952 249-4616 Renewal: $350 <br /> �,� ��ti MailingAddress: After-the-fact: $1,400 Double Fee <br /> ��og P.O. Box 66 Escrow Fee: $700/$2,500 <br /> Crystal Bay, AAN 55323-0066 <br /> This application form must be com,p{eted.in.full, Applicant will be not�ied:within 1:5 days as to.the status of the <br /> application. Incomplete appYica�ions will not be placed on Planning Commission Agendas. <br /> PROPERTY 1NFORMATION: �;;-.. <br /> Site Address: ��/(� S'�or��r nc L��. , �"Y�I l h n�►��� ���s�.�,�, Y1�7 /l� <br /> Property Identification Number(PIN): � <br /> Date Property Acquired (month/year): � Yes, f own the adjacent parcels. <br /> Zoning District: <br /> APPLICANT INFORMATIUN: (Complete legal names and marital status required for each interested party) <br /> Name: . SI�,�U���!'`��� �c-�v�� -I�/�1,� �J� �► �.��G 1rnr��-CI��' <br /> Phone (wor�): ,�;��- R� �- I q D� Phone (�ce.1!): �i� - 9 ��- �y 3 <br /> Complete Address: �,-�� i,�/Q,T h„-,..�-�,.�. ,4-��_ �'_ <br /> City, State&ZIP ��,A1� m�/ ;�-�y�� S <br /> EmaiL h-�j �,�Z-�w,��t�`l�r�. �r> Fax: 4 T�- Sa-�r_;(ahn-7 <br /> OWNER INFORMATION: (Complete legal names and marital s�atus required for each interested party) <br /> Name: hr��T � �(J ���fL�s�-� <br /> Phone (home): -�� �q� - yn�� Phone (work): ��n 3 _2 �� �-Z�� � <br /> Complete Address: �„, � ;�,-r-,� ��,�,.,� � � • <br /> City, State&ZtP �,a,� I� �'��-�vG ►��.1 ���3/ I <br /> Email: �.�-,���:, � h°�-�.�`, \ co w, F�= <br /> DESCRIPTION OF REQUEST: -u-GZC�ecF-�. <br /> Describe the request in detail (attach additional sheets if necessary): �� � <br /> � REC�IVED <br /> MAY 2� �91� <br /> CITY OF�t�.��� <br /> - 13- <br />