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PC Exhibit A <br /> City of Orono <br /> Variance Application <br /> Street Addr�ss: Application# �3- 3 <br /> �Q� 2750 Kelley Parkway Date Received: G1 —1 —(3 <br /> O Orono, MN 55356 <br /> Staff: <br /> Main: 952-249-4600 Fee: $700 � <br /> � � fax: 952-249-4616 Renewal: $350 <br /> y � MailingAddress: After-the-fact: $1,400 Double Fee <br /> ``�� �L P.O. Box 66 Escrow Fee: $70 2 <br /> �KESNO� 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. fncomplete applications will not be placed on Planning Commission Agendas. <br /> PROPERTY lNFORMATION: <br /> SiteAddress: �G� �w�V�Cv.� E-►'1� V(t-G7�1v l �j 3S(� <br /> Property Identification Number(PIN): �.� `� " ��;c� .. <br /> Date Property Acquired (month/year): ❑ 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: �.�K���� �1a,�s-�.c�► - <br /> Phone (home): ��;3 - 3s'��-��.c:�i Phone (work): <br /> Complete Address: ��,�� �i�k�;;�...' �b,s ��►��.;,.,.,.,,� I1-�� <br /> City, State 8�ZIP <br /> Email: �`4�i�� tvc..��4, H 34 ° r��Sni, c�.�» <br /> Cq��r : �d►��S�,�e,� C� a�a y e�,��.-�,�,�.c n i PS. c�n, <br /> OWNER INFORMATION: (Comptete legal names and marital status required for each interested party) <br /> Name: <br /> Phone (home): Phone (work): <br /> Complete Address: <br /> City, State 8�ZI P <br /> Email: <br /> DESCRIPTION OF REQUEST: <br /> Describe the request in detail (attach additional sheets if necessary): � � -��; � ,- ,,�� <br /> � � � �l?� V � `� .< � "h��-.ti <br /> 111 Gdr+�-,�t�ii���l�-c`� <br /> R�CE�'���j <br /> Packet Last Updated.� 09/1013 <br /> Page12of28 �� �. :� ��� 1 � ?��� <br /> � <br /> s'�Nw �s ��'�, <br /> �,�'; "' ,i ;' ����'0F ��OI'�I'J <br />