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PC Exhibit A
<br /> R��✓��V�D
<br /> AUG 2°12012
<br /> C ity of Oro n o CITY OF ORONO
<br /> Variance Application
<br /> Streef Address: Application # t 2— ,�S7Z-
<br /> �Q �` 2750 Kelley Parkway Date Received: 8 I�� I�2
<br /> O '�1 O Orono, MN 55356
<br /> Staff:
<br /> � Main: 952-249-4600 Fee: $700 Q n.`j � � ($
<br /> � � � �+ fax: 952-249-4616 Renewal: $350
<br /> �� '`� �,ti`S Mailing Address: After-the-fact: $1,400 Double Fee
<br /> t`�k'EsHOg'� CryOstal Bay, MN 55323-0066 Escrow Fee: $700/$2,500
<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 /> PRaPERTY INFORMATION: . ,
<br /> Site Address: y,0�S ��•• �'�'-
<br /> Property Identification Number(PIN): (�(,- ��Z - �3- �tl - Oto(e
<br /> Date Property Acquired (month/year): �� ❑ Yes, I own the adjacent parcels.
<br /> Zoning District: . L.� ,1 g .
<br /> APPLICANT INFORMATION: (Complete legal names and marital status required for each interested party)
<br /> Name: �,� �.� �
<br /> Phone (home): ��a„ -�pZ- (�,p � Phone (work): iv�
<br /> Complete Address: 9 G .� ��, �.�,,
<br /> City, State &ZIP k(.�� ��,k,wi.�., �S`-!K� �
<br /> Email: VUI.�-(�;,��ial��I.cawT Fax: �tj,¢
<br /> OWNER INFORMATION: (Complete legal names�a_nLd marital status required for each interested party)
<br /> Name: �,�f �- �
<br /> Phone (home): � �,.- �o� ' 6 �3 Phone (work): /tJ,�
<br /> Complete Address: ��� S Lm�.���� /�,..�.iV
<br /> City, State &ZIP �,(�t,,,,, Pa IC_n�,.,� SSttY..�
<br /> Email: �;}�.� � Gw-�,,�,.,;�_ �„� Fax: ti�q.
<br /> DESCRIPTION OF REQUEST:
<br /> Describe the request in detail (attach additional sheets if necessary): t,c� a,�.. ��„� a.
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<br /> � �. �5 s-�� � d�t L�- 2. � r.z ��'� ,2f
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<br /> l.tJ� . L+o ` r� CL (�M�" �1a� t.�113=('(.�.
<br /> ��•,� ���5 a�3�� 5���� ��� v�w'+�,�. D�-v��
<br /> Variance Application Updated: January 31,2012
<br /> ' ,• - 13-
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