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, PC Exhibit A <br /> CITY OF ORONO <br /> VARIANCE APPLICATION <br /> i�`^� Street Address: Application # �3- 3 59 � <br /> ��.�0 2750 Kelley Parkway Date Received: 3 - ��-�') <br /> Orono, MN 55356 <br /> Staff: �,� <br /> Main: 952-249-4600 Fee: $700 <br /> ,� �„ fax: 952-249-4616 Renewal: $350 <br /> '��, G� Mailing Address: After-the-fact: $1,400 Double Fee <br /> �, P.O. Box 66 Escrow Fee: $700/$2,500 <br /> `�K�SHO� Crystal Bay, MN 55323-0066 <br /> This application`form must be compieted in fulL Applicant will be notified within 15 days as to the status of the <br /> applicafion. Incomplete applications will not be placed on Planning Commission Agendas. <br /> PROPERTY INFORMATION: n <br /> Site Address: Q� �,��,�Q,�. 1�-L d PQ.�� �-V'IDYI � rn � �'�j�3�j � <br /> Property Identification Number (PIN): Q - l 17 - � � 1 � - �� <br /> Date Property Acquired (month/ ear): Yes, I own the adjacent parcels. <br /> Zoning District: � P{�..(� <br /> APPLICANT INFORMATION: (Complete le al names and marital status required for each interested party) <br /> Name: �I-�Oh��"U�'1�e., V�C�-Q� bl i s � n � c_ C i -� ��Ir�r�.�oh <br /> Phone (home): q Phone ( rk): - � � <br /> Complete Address: <br /> City, State & ZIP Q�.� (7`, <br /> Email: c� �Q�l p SO►'1�_�1 l�1M�.'1"l�VY1�� �Y►� Fax: - <br /> OWNER INFORMATION: (Comp ete legal names and marital status required for each interested party) � <br /> N a me: �Q�yVI.�,, � (�.�j (�1/-C�, <br /> Phone (home): Phone (work): <br /> Complete Address: <br /> City, State & ZIP <br /> Email: Fax: <br /> DESCRIPTION OF REQUEST: <br /> Describe the request in detail (attach additional sheets if necessary): <br /> l�.J�2n -�kC a vu'��+., Tr/✓ O�.t✓ "T�(.t.n o�a7��. W�, C�ih GOGtn�rt.Q A ,$�1�' O•i0< ��� <br /> �t.4-cE a�2 V'i A'�� �iai ! GbLa�IK �F- W 4,J c�o f�r 't'�a.. I 0� 7�'ar. O 4 v b N.���o��"`' <br /> �a.�t S to t-f� -{�r-o+... `hCe �.•+4 i n C t r��•.� 01�1�. J�c��.a �t�e a�,a b la•., Y- � �-,`n � <br /> '{'t..� G:�Q��`!3r S O��/'�d �}-k.t d ro 6��.. LJta S�i�f'h�^.n '�'t,,� N W �evlu�r nC o-c.r <br /> h e k ss ba 7 ' � t�.e. �a s t . UJ[ I1 ew f+�i.t w /0 ' �F e.l��s..4 7�, <br /> v- o�e ', q' �c � /c� '7`'�t '�'� <br /> �, ' O W d. l�r U!c r��� ` G GKa de� La. e �o <br /> 4 d v�.fi .S � <br /> C.6�.�-�►� l o� C w� RECEIVED <br /> � ,, MAR 1 9 201,i <br /> - _ , �' �Il�( OF �RQ(V� <br />