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ve �y v ► v � v� .v <br /> - Varianc� Application <br /> - r Sfreet Address: Application # (�'� - J/��� <br /> � �� 2750 Kelley Parkway Date Received: ,S;=/(�-C�S <br /> Orono, MN 55356 Amount Paid:� <br /> O a� Staff: /�� ��� (�j�, -(-�(-i�1�_ <br /> �\ <br /> �����t�>� �_.. <br /> �: _,.. Main: 952-249-4600 Fee: �G00 c° ; n �-- <br /> a ��.' �� �* fax: 952-249-4616 Renew����. � � <br /> � �-�:� <br /> �',C, � � " �',� �ti M a i l i n g A d d r e s s; , A ft e r-t h e-f a c t: �` �,2 0 0 D o u b l e F e e <br /> t,qk�sxo.�`,�� P,O, Box 66 ' <br /> Crystal Bay, MN 5532�-006G <br /> This application form must be completed in fuil. ApF��cant will be notified within 15 days as to the status of tlie <br /> appiication. Incomplete applications will not be placed on Planning Commission Agendas. <br /> PROPERTY 1NFORMAT(ON: � , I � ( � ��n;� ��� \� � <br /> SiteAddress: �J��� ���� � " �' <br /> Property Identification Number (PIN): <br /> (Attach legal description to application if not included on the survey.) � <br /> Date Prope►ty Acquired (month/year): ` �1�� ❑ Yes, I own the adjacent parcels, <br /> Present use of proper�_y; �Residential ❑ O�her <br /> Zoning District �-�'��' 0 � <br /> APPLfCANT lNFORMATION: (Complete legal nGr..as and marital status required for each interested party) <br /> Name: �����(L� �N� �F;r�1EL.�r- ��LI� <br /> ''hone (home): ��Z- �`� �- 3G�7_ Phone (work): � (�f�Z- �g�( - �U�S <br /> Address: ��-}�� (��^;,21� �DL - (��.�Nv M n/ S�3�`( <br /> Email: Fax: (��2- 3 � � ,SS <br /> OWNER 1NFORMATION: (Complete legal names a:�d marital status required for each interested party) <br /> Name: <br /> Phone (home): Phone (work): <br /> Address: <br /> Email: Fax: <br /> QESCRIPTION OF REQUEST: � Estimated Project Cost: $ <br /> Describe the request in detail (attach additional.sheets if necessary): <br /> n � <br /> <-�,'��-I�ZL X S7"I N C.� �� 9r��{, <br /> r', �J"'�Y,�•(�, <br /> p �.��7 °";.�� f:: el�� <br /> y <br /> t}' ,,��� �`'� ,'� r.r i{� �-'JseaT17 <br /> 1 ,� r � � �, i �`� l 1� .� <br /> �{� i� C 1 V � <br /> t 7/ Clt,�. .i fit' r� � yil �. <br /> K�',,,�f.a 1�,h � �t... �{t4 . ': '��' <br /> ,� r �� N;;T.ta7.�i e"^���n �S�r •�, <br /> . � �i �: :i �✓T�ir� '. ,.� .. . ;i <br /> . � . . ' . . . .. .i .�I •. .� � .. . . .. .� �! . . . . .. . . �� �. .� • <br />