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� , PC ExhibitA <br /> City of Orono <br /> Variance Application <br /> Street Address: Application# ) �J -�J� �� <br /> �Q�O 2750 Kelley Parkway Date Received: 3 -Z D -(3 <br /> Orono, MN 55356 <br /> Staff: �(� _ <br /> Main: 952-249-4600 Fee: $700 — ,-7 3 ( <br /> � � fax: 952-249-4616 Renewal: $350 <br /> y� � Mailing Address: After-the-fact: $1,400 Double Fee <br /> L P.O. Box 66 Escrow Fee: $700 2,50 �_ �-13(� <br /> `qk�SH��� Crystal Bay, MN 55323-0066 <br /> This application form must be completed in full. Applicant will be notified within 15 days as to the status of the <br /> application. Incomplete applications will not be placed on Planning Commission Agendas. <br /> PROPERTY INFORMATION: <br /> Site Address: 3 v �$ �J o rL-� �-� s E-�o +�t. �P i �� � , O� o r.� �1`7 S�3 9 I <br /> Property Identification Number(PIN): Ooj/� ? 2 3 3 Z,r�o o�{ <br /> Date Property Acquired (month/year): o�/ Q� ❑ Yes, I own the adjacent parcels. <br /> Zoning District: ��L - //.3 <br /> APPLICANT INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: L 5 k�..��-(� B S s�c.i 2�5 <br /> Phone (home): Phone (work): �S'L• Sy y-• S S y'� <br /> Complete Address: !� ,��irt nc tOnk.Z /3/v�l, f�r:clJhzv�h , rl/l� S-S 3 9/ <br /> City, State &ZIP <br /> Email: l���b � ���ccn��� Co�v► Fax: — <br /> OWNER INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: �7-�,rYn �.2�/25 <br /> Phone (home): Phone (work): <br /> Complete Address: �i o c�g� ,U�� t�-/ f Cf-d/LC- �,-_ <br /> City, State & ZIP � S� <br /> Email: � ��v � 1 / _ 2- /n Z�' � Fax: <br /> DESCRIPTION OF REQUEST: <br /> Describe the request in detail (attach additional sheets if necessary): L�Z�LiZNG� �jLo�_ <br /> ar�._✓a9E �.�k�f�,-� �l'�� �� <br /> Cr,-�.0 r:�� dv.i�h,.�.� 7,S'=a'' � a.E� J'�v-i� � � <br /> ED <br /> MAR � 0 [U1;� <br /> Packet Last Updated: 03/O1/13 �Ty OF ORONO <br /> Page 14 of_ <br /> w <br />