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City of Orono Variance Pre -Application Meeting Form (This form is to be completed by a City Planner during your pre -application meeting.) For Office Use Only: City Planner: Meeting Datellfime: PC Date: Met with: What is the purpose of a pre -application meeting? Pre -application meetings aid the applicant in preparing a complete proposal, inform them of the procedures and requirements of the city code, and identify policies or regulations that create opportunities or problems for the proposal. PROPERTY INFORMATION: Site Address: C3 X .00J Property Identification Number (PIN): 23 -- 00 1 Zoning District: c— Size of Property: 3 11c X jti ESCRIPTION OF VARIANCE REQUEST: Average Setback ❑ Side Yard Setback XRear Yard Setback ❑"Lake/Front Yard Setback ❑ Hardcover Tier 1 ❑ Hardcover Tier 2 ❑ Hardcover Tier 3 ❑ Hardcover Tier 4 ❑ Lot Coverage XLot Area ❑ Lot Width ❑ Other: Applicant's 41* PRACTICAL DIFFICULTIES: Owner and/or Applicant has received the Practical Initials: Difficulties Documentation Form, understands it as it has been explained to them, and is aware that it must be completed and submitted in conjunction with their Owner's (► Initials: formal variance application. Applicant's BILLS AND ESCROW: Owner and/or Applicant shall pay for consultant expenses Initials: incurred in review of this application and/or additional staff time not covered in initial application fee, as well as provide an escrow in the amount of $ 46450 to Owner's 6a,R Initials: guarantee payment of the above. UTIIEK INFORMATION: *Please note: Your variance application will NOT which this form will be completecj by City ptaff. Applicant Signature: Owner Signature: Variance accepted without a pre -application meeting during Date: !/Z ///, te: Z6 f ECEIV�D SEP, 21 2016 Page 3 # 387r;CITY OF ORONO