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�t��r-r.4 <br /> � City of Orono <br /> - Variance Application <br /> ,—._� Street Address: Application# (,�� - �;�0""( ��'' <br /> ��� 2750 Kelley Parkway Date Received: (;,� < « C.} �� <br /> Orono, MN 55356 Amount Paid: ����w <br /> � ,�. � Staff: ',s�t;�`."�%t r'r °.6``'. <br /> � G.;�•,,z� �. �:.,�r <br /> ��r*� Main: 952-249-460Q Fee: $600 <br /> �� ' �� � fax: 952-249-4616 <br /> `� p�� �y��;�--- ti Renewal: $300 <br /> �'�.n�A 5 1��,, �ti Mailing Address: After-the-fact: $1,200 Double Fee <br /> � P.O. Box 66 <br /> kEsHo4" Crystal Bay, MN 55323-0066 <br /> This application form must be completed in full. Applicant wiil 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: ��Z�� t-c�5�v C�� ti2('�V � ��-�-��N � L�4�N �S`s� J <br /> Property Identification Number (PIN): ��� -� � � ��-- 23 �--�� �� --- c�c,�_�`�- _ <br /> (Attach legal description to application if not included on the survey.) <br /> Date Property Acquired (month/year): ❑ Yes, I own the adjacent parcels. <br /> Present use of property: �Residential ❑ Other <br /> Zoning District: <br /> APPLICANT INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: �.r2-iL �-2� �-�:�.,� ( 5��v���- � ) <br /> Phone (home): �,.�=z ��,r �--E,��z Phone (work): fa�z �z�� �`s y'� <br /> Address: j�-z 2�L�' �i City: ����5�,,,� Zip: �S�� <br /> EmaiL (=r�������� �—n�1.r�-�-c� � �l�sr-r�%��i e�-- - ��y� Fax: <br /> OWNER INFORMATION: (Complete legal names and marital status required for each i,terested party) <br /> N a m e: f�t'�L L-a,�'L ¢...���� ' L,c�-,rLi -,(J�C(?�.c�,� ��z���L-i.� `" <br /> Phone (home): �S Z �t� � ��,o`� Phone (work): ��,� L 7-��� c ��i ` <br /> Address: /�'Z Z```' S�� CitY: �<.�-%t-5���2 Zip� 5_5.�3.;�i <br /> EmaiL (�✓�,ti�r,-�,rz.� --!vt�:tk L� �l�-r-1t�,��� . c°L�� Fax: <br /> DESCRIPTION OF REQUEST: Estimated Project Cost: $ `j,�c�� vc%v <br /> Describe the request in detail (attach additional sheets if necessary): y— <br /> �''—�Lr� ('fl L`cr--��J E�7"Z`�?-';�' <br /> .. <br /> � � <br /> �'^. � f <br /> F r :. <br /> ���L��Y ` l. ' <br /> t( <br /> .�'"s� t,,:;7r�3 ' ..' ' � <br /> �,J./f ! � ! <br /> /yJ <1;� � � / <br /> "" 4V P;:. ....... '1 �' 1 <br /> .._�..�.. .... ..... j <br />