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� PC ExhibitA <br /> City of Orono � � <br /> Var.iance Appiication - <br /> Streef Address: Application# i�~3 �' <br /> �`O� 2750 Kelley Parkway Date Received: f(j-((G�l 1— <br /> y Orono, MN 55356 <br /> Q Q Staff: �ti1 <br /> Main: 952-249-4600 Fee: $700 ✓ . <br /> � � � fax: 952-249-4616 Renewal: $350 <br /> �, tii5' MailingAddress: After-the-fact: $1,400 ble Fee <br /> t.q��o�,��' 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 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: • �d ' �' 2 <br /> Property Identification Number(PIN): fl7D—//7- v'3 � .3 —OQ�'� <br /> Date Property Acquired (monthlyear): ❑ Yes, I own the adjacent'parcels. <br /> Zoning District: <br /> APPLICANT INF M TIO :� (CQ lete legal m �arit�I,statCis required for each interested party) <br /> Name: ',; y ,1�'1° � �� rt <br /> Phone (home): � - -� • � Pho (work): ' - •� :0 <br /> Complete Address: , � 4 O � -1 �(� <br /> City, State &ZIP � : d �� ; % � <br /> EmaiL � G� , At� �� Fax: <br /> OWNER INFORMAT N: (Co pl�te le al name an m i� ta , required for each interested party) <br /> Name: ��1 , �d- � u ����Q�F 1 <br /> Phone (home): r i 2: �; • Phqne (work): � • ' � <br /> Complete Address: .,'I. - �, . -'�. �k 6;'` ��rr� �C<< <br /> City, Stat &�I � �°r � !M� . � � <br /> . Email: �, � : . . �� ax: <br /> � ' <br /> DESCRIPTION OF REQUEST: ' <br /> ' Describe the request in detail (attach additional sheets if necessary): �(�� /��-'��� ".,�i. - ��. <br /> � <br /> z, �. ,. <br /> '• P�. .� 4 , < < �� , , , �'.� �. <br /> „ - ` � <br /> ,. 1 _ <br /> � <br /> � �if��F�R��t1�_ <br /> ,:,,. <br /> Variance Application�Updated: January 31,2012 F <br /> - 13- '� � � ' <br />