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� <br /> , PC Exhibit A <br /> City of Orono <br /> Variance Application � <br /> Sfreet Address: Application# / - <br /> �Q�O 2750 Kelley Parkway . � Date Received: �-!(n-f3 <br /> Orono, MN 55356 <br /> Staff: <br /> Main: 952-249-4600 Fee: $700 '� � <br /> � fax: 952-249-4616 � Renewal: $350 <br /> � � Mailing Address: � After-the-fact: $1,400 Double Fee <br /> `{'l� ��G~ P.O. Box 66 Escrow Fee: $7 2,50 �/ 73`{-�p <br /> kESHO 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 /> , <br /> Site Address: ���j� h� � ��i�� <br /> Property Identification Number(PIN): e i — Z.� — 3 .—oc� � <br /> Date Property Acquired (month/year): � ❑ Yes, I own the adjacent parcels. <br /> Zoning District: � 1 <br /> APPLICANT Ifj,IFORMATlO : ,(�Complete legal nam marital s�atu ired for eac interested party) � <br /> Name: � � �i•�r)�i' 1�r -��- � C.b Q.� �J ( , � �N��e�, o tc�� <br /> Phone (home): � � Pho e (wor : �ja..w\�- ��f c�7• 3� ��L'� <br /> Complete Address: �jp�,,� c o� �; �'�'�' <br /> City, State & ZIP � � � <br /> EmaiL � v ��- � �n� <br /> OWNER,�IFORMATI�N:�Complete lega es and�arital st�s re�uired for ch intereste party) <br /> Name: C�'1-�1'c a(' -e�c. � � e.h�r� � �� �r �'L �i a.r r� � - � �� <br /> Phone (home): �� � �' f• `I Ph (wor ): c� ( � � � �C� <br /> Complete Address: � o� � � <br /> City, State & ZIP t° � <br /> Email: � -F�. �--� . �v+�- <br /> DESCRIPTION OF REQUEST: � <br /> Describe the request in detail (attach additional sheets if necessary): <br /> , <br /> �Z Z � c�, �-(-�d � i n �� �i1 ����- � i►� �-r�. <br /> o n�u� r'e�r� � � E1.i I��c r' ov �. ;%1-i u� �-�' �... � <br /> i 1� hb'� - � ^ C'y i C� � <br /> ���+c....-.� <br /> f�GGGI Y GV <br /> n .�+ <br /> . � , CITY OF ORONO <br /> Packet Last Updated: 03/29/13 � <br /> Page 12 of 31 <br />