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_ � <br /> � �'' PC Exhibit A;' ' <br /> City oftiOrono - � <br /> � �Va�ri a�n ce .Ap,p l;i cati o n <br /> StreetAddress: Application-# �2 �57�✓ <br /> .,�`� 2750 Kelley Parkway Date Received: 77,� �?i <br /> Oy �O Orono, MN 55356 <br /> Staff: ���/yl l.� <br /> , Main: 952-249-4600 Fee: �700 <br /> � � � fax: 952-249-4616 Renewal: $350 <br /> �� ti`� Mailin Address: <br /> '�G P.O. Box 66 � After-the-fact: $1,400 Double Fee <br /> �`�'ESHO'� Escrow Fee: $700/$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: �J/�� �� ��DVG(., /ed, , 0%a n p f 1')►•� <br /> Property Identification Number(PI : 7- ' �- � --o D I 9 <br /> Date Property Acquired (month/year): 7 a��❑ Yes, I own the adjacent parcels. <br /> Zoning District: . . <br /> APP_LICANT INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: SGO-F—E- Ca Mc,�s ' er � �I'SS ' �r — ar►'i � <br /> Phone (home): � 4 7�- i . Phone (work): �I'Sa 73 <br /> � CompleteAddress: Co[v� � �. Saun�rs �.K �r. ���a 1 �yy- �a�18 Mcli55� <br /> City, State&ZIP i � n e-h-zs °M N 553 � <br /> Email: m�Ugq',er�l� vahoo. c,o Fax: '7! 7-850� M ss� <br /> OWNER INFORMATION: (Complete legal names and marital status required for each interested party) , <br /> Name: �a.r� Gi.s a-bo c�� <br /> Phone(home): Phone (work): _ <br /> Complete Address <br /> City, State&.ZIP � <br /> Email: ( S � Gol� Fax: <br /> DESCRIPTION OF REQUEST: � <br /> Describe the request in detail (attach additional sheets if necessary): <br /> S�G a�o� � <br /> F�E��Q�/�� <br /> VarianceApplication Updated: January 31,zo,2 AUG 2 2 2012 <br /> - �s- CITY OF dRONO <br />