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+ � i <br /> � PC ExhibitA <br /> City of Orono � � � <br /> Variance Application <br /> Street Address: Application# 1 Z-35$� <br /> �O� 2750 Kelley Parkway - Date Received: lp-�(p -�Z <br /> �Orono, MN 55356 <br /> 0 Q Staff: C� _ <br /> Main: 952-249-4600 Fee: $700 � <br /> � �+ fax: 952-249-4616 Renewal: $350 <br /> Gti`�' MailingAddress: After-the-fact: $1,400 Double Fee <br /> l.qk,E�Og,'w P.O. Box 66 Escrow Fee: $700/ ,50 <br /> Crystal Bay, MN 55323-0066 • <br /> This application form must be completed in full. Applicant will be notified within 15 days as to the status of the <br /> application. Incomplete applications will not be placed on Planning Commission Agendas. <br /> PROPERTY INFORMATION: � <br /> Site Address: Ll7 � j �D cs��t� ���'�' <br /> Property Identification Number(PIN): <br /> Date Property Acquired (month/year): ❑ Yes, I own the adjacent parcels. <br /> Zoning District: �,�/ � � <br /> APPLICANT INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: CDISOh ��Sto»� �/oMe 5 <br /> Phone (home): Phone (work): �j2-27 S- 8$ 7 1 <br /> Complete Address: / OD/ �-/w • <br /> City, State & ZIP �;�r���on a.. !'1� �3 r5� <br /> . Email: /`o�n,G�/tQGo�soh CrsFm�►, H/o�+�,es . C'o� Fax: <br /> � <br /> OWNER INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: <br /> Phone (home): Phone (work): <br /> Complete Address: <br /> City, State & ZIP <br /> Email: Fax: <br /> DESCRIPTION�OF REQUEST: . � � �- ��'� <br /> Describe the request in detail (attach additional sheets if necessary): ��f �'� <br /> . , , . • -���� - . _ <br /> .. . � 7 � 2u�2 <br /> Variance Application Updated: January 31,2012 �i <br /> - 13 - <br />