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PC Exhibit A <br /> City of Orono � <br /> Variance Application <br /> Street Address: Application# �77'�J� 1� <br /> ��� 2750 Kelley Parkway Date Received: <br /> Orono, MN 55356 <br /> � � Staff: <br /> Main: 952-249-4600 Fee: $700 �fQ�� <br /> a � fax: 952-249-4616 Renewal: $350 <br /> �'�,c, Gti�' MaifingAddress: After-the-fact: $1,400 Double Fee <br /> �'�k'EsHO4'� P.O. Box 66 Escrow Fee: $700/$2,500 <br /> Crystal Bay, MN 55323-0066 <br /> This application�form�must be completed_in full:, Applicant.will be nofifed„wifhin 15_days:�as to the:status of the <br /> applicetion. Incomplete applications will not be placed on Planning Commission Agendas. <br /> PROPERTY INFORMATION: <br /> Site Address: 3 3 SC� F�ax S�'K.��=1^ 0�1-o n o /�I.�U �S 'S5(, <br /> Property Identification Number(PIN): c�S! ! � 2 3�Fy DO� <br /> Date Property Acquired (month/year): t d o ❑ 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: ��-��2. �� �vl��-4� <br /> Phone (homeT (� �� • 29 6 •�5�5 Phone(work): — <br /> Complete Address: � �3�,Z {�;��� -�-o ,-�r—� i3 ��� <br /> City, State &ZIP ���,� •,�� ��..� sS �'t t <br /> Email: ��n c�- �. � s k�.�.M,._. ,c.o.... Fax: <br /> �+�.Y,.�� 2 ��i k-v.c,l-1 t . �o w`. <br /> OWNER INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: �J ��c�•c 3�a► os <br /> Phone (home): �o � y �n � • �o���SS Phone (work): — <br /> Complete Address: 33�n .F'�n S'�'r �..� ti- <br /> City, State &ZIP �r o�� � ,�.i 5 S 3�'� <br /> Email: Fax: <br /> DESCRIPTION OF REQUEST: <br /> Describe the request in detail (attach additional sheets if necessary): QY�,C�� �a�i.c,s�-(,e�,�,. <br /> �-�-'� 2�1c.� �-� ����a+_..a �i � <br /> �i��C� <br /> Variance Application Updated: January 31,20,2 ,�AN �:3 2013 <br /> -13- <br /> c�(p�(�RONO <br />