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� <br /> • PC Exhibit A <br /> City of Orono � . � <br /> Variance Application <br /> � Streef Address: Appiication# �Z�?jr'✓1 g <br /> ��� � 2750 Kelley Parkway Date Received: 2 <br /> O O �rono, MN 55356 Staff: ��[�i . <br /> Main: 952-249-4600 Fee: $700 <br /> a � fax: 952-249-4616 . RenewaL $350 . <br /> �'.�c, Gti`�' Mailing Address: After-the-fact: $1,40 ouble Fee <br /> • '�.E�o.g,w P.O. Box 66 Escrow Fee: $700 $2,500 - <br /> Crystal Bay, MN 55323-0066 (Z p0�2� <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: ,,���y! �"Li.��S` �i� y !�1� I✓L4i�'�L i����t!' >>�.�>� <br /> Property Identification Number(PIN): �;",��/�"-,Z_�� p�� <br /> Date Property Acquired (month/ ear): ��; J9�L ❑ Yes, I own the adjacent parcels. . , <br /> Zoning District: �-� � � � <br /> APPLICANT INFORMATION: (Complete legal names and marital status required for each interested arty) <br /> Name: -' ,�S •� - �� L v.�/� <br /> Phone (home): �,>s���a� _'�;.3y.- Phone (work): — <br /> Complete Address: � � .��-���,,s�; � �y �1>'� <br /> City, State &ZIP �I�.�/��� i��,4��V , �rv_ �'.i�"� � <br /> Email: fJ��T,i i Sitfl�� � l�:�J.r.��� > �'a�� Fax: <br /> OWNER INFORIVIATION: (Complete legal names and marital status required for each interested pa.y) <br /> Name:j� i7� /� ci' � Y�' �'..�' � <br /> Phone (home): �5 � - �7,� �7��,� Phone (work): -�-- <br /> Complete Address: �.�- �i . �':•V�,r4� i�y 'J�fa - <br /> City, State &ZI P �,a./a�� ��F�h/ . ;�,�� ,,� .�3 -�� <br /> Email: f/f�i`�i>.TS�V v�:,� �� �f�1.4-�z..�i�.�' Fax: <br /> DESCRIPTION OF REQUEST: <br /> Describe the request in detail (attach additional sheets if necessary): � ;,;���a a--� �,��a ,� <br /> ��-c�l��_L�� �rJ ��.� �►:,��r�:' ��d'fa� ��= .�i�+ z:�C/��/�G c�.�tl�.���� <br /> T�� J�t��� ,u���TTi�� �►:L�.. ,i�I'�-� � .��/Y ��.�''i,��i� ��i�' <br /> �`i�/� �X f�� G�f:i�,.,��-�- �c o� `f'�i% �J� ,.����c,GGI� <br /> d.. <br /> � t <br /> Variance Application Updated: January 31,2012 CBT�° OF ORONQ <br /> - 13- � � <br />