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T �' -� ' pC Exhibit A <br /> � <br /> City of Orono <br /> � Variance Application <br /> Sfreef Address: Application# I 3 -3 LPDS <br /> �Q� 2750 Kelley Parkway . Date Received: -►�- /3 <br /> O Orono, MN 55356 n <br /> Staff: �/l l� <br /> Main: 952-249-4600 Fee: $700 p� C� lov_� <br /> fax: 952-249-4616 Renewal: $350 <br /> � � MailingAddress: After-the=fact: $1,400 Double Fee <br /> '�' G~ P.O. Box 66 Escrow Fee: $700 2 500 ' <br /> t�KESHO��' � Crystal Bay, MN 55323-0066 l08`�'7 <br /> This application form must be completed in full. Applicant will be notified within 15 days as to the status of the <br /> application. Incomplete applications will not be placed on Planning Commission Agendas. <br /> PROPERTY INFORMATION: <br /> Site Address: ���5— ��l�l�- ACl� C��Ot20 �. ,�b 3�� <br /> Property Identification Number (PIN): . <br /> Date Property Acquired (month/year): /�}p � �di ❑ Yes, I own the adjacent parcels. <br /> Zoning District: <br /> APPLICANT INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: � �I-- �c �- � �cc.rr,`� <br /> Phone (home): 9,h a-- y`7'3— �o$'''3 Phone (work):�+�QJ� �O j�-�'�`D -- �6 Q�� ��cGc� <br /> Complete Address: ay� i o(��krz �4U� � � <br /> City, State & ZIP b �{Lc� , Il�t►V � � 3 <br /> Email: ����'j°'�' � !'Y1cc-i � �- C-�M'L. <br /> OWNER INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: ` � �- , ` n!� <br /> , <br /> Phone (home): y�y h�.— �j��, ��C�FS'�, Phone (�vcrk)��� (a j�. — � —7_G'q� _ <br /> Complete Address: �;u � — ����- �1\'9 — <br /> City, State & ZI P � ��R Q��_�y��h 3S6 <br /> Email: � �'�—� ��.YY�ce.i� . C:a h"-_ <br /> DESCRIPTION OF REQUEST: <br /> Describe the request in detail (attach additional sheets if necessary): <br /> iav1 1�l � Ll � � < i � • � <br /> � � � <br /> ti <br /> RECEIVED <br /> . , APR c i 3 <br /> � � CITI( OF ORONCD <br /> Packet Last Updated: 03/29/13 _ . <br /> Page 12 of 31 <br />