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01-24-2005 Council Packet
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01-24-2005 Council Packet
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1/11/2023 10:39:08 AM
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Cityorbrono <br />Variance Application <br />SIroot AddroHS <br />2750 Kciloy Parkwjy <br />Orono, MN 55350 <br />Application# OS ' _ __ <br />Date Received lifiyoy <br />'JftOO. <br />Main: 952 249 4600 <br />fax: 952-249 4610 <br />Mailing AddiQr,s: <br />P.O. Box CO <br />Cryr.tal Day. MN 5532:-0066 <br />Amount Paid. <br />Staff. <br />Fee: , SOOO ' <br />Renewal: $300 <br />After-the-fact: $1,200 Double f-ee <br />This application form must be completed in full. App .cant will be notified within 15 days ar. to thr> status of the <br />application Incomplete applications will not be placed on Planning Commission Agendas. <br />PROPERTY INFORMATION:'tSite Address: f^<z> t A _____ <br />Property Identification Number (PIN): 0.ilG ) r t . I*!__( v <br />(Attach legal description to application if not included on the survey.) <br />Date Property Acquired (month/year): ~1 [o<4 □ Yes. I own the adjacent parcels. <br />Present use of property: ^2^esidential □ Other ___________________________ <br />Zoning District; __________________ <br />0WNl:(L <br />•APPLIC'AN'T INFORMATION: (Complete leqal nares and marital status required for each intorusted parly) <br />Name; V__stcaoajc _H ♦ uj )_____________ ____ <br />Phone (home):f X - - / ys~o Phone (work); - / 3iTo <br />Address: >7p aj. t*aA >?*/• <5 V <br />Email:Fax; <br />APPlUAA/r <br />T wwiJ UP-INFORMATIQN: (Complete legal names £"d ma/jtal staluj required for each inleitjsUid pady) <br />Name: Cfi€t5vjtV—♦—■iTCA*A-jg‘ <br />Phono __ <br />Address: ^Oi ' <br />Email;lail: a l ev n t: orp <br />names c“a mnritai srnius required lor cecn inierr-'su?d P^ny) <br />________ Phono (work): O _____ <br />7/VTTC , MNJ ' . <br />Fax:'U... <br />$DESCRIPTION OF REQUEST: Estimated Project Cost;__________ <br />Describo the request in detail (attach additional sheets if necessary):_____________________________ <br />_. /^V’t- ( -A ; A| ’pl-f lt--jc~ l \rj>l ‘ V/>'U ZlX\J.. ,r: (-; / .Xp’Af-' >___ <br />-ckJtJU-o\i_.L^XpiricTJ..'. ________ <br />Lc4~ ^ >t Lx:^ K-)U3T^-\ > ^.c>tiy:q/vtOOA^:0 | <br />_______________________________________________________________________ <br />\/::2 <br />-ar-'Y': -^<^4--------------------------------------,__-----------------------------------------i____I,L^tia'VtOcr-x._c7 K:« <br />Jic.) q. rr.______ ______________ ___ ______ <br />Lr:/^r:->.. i k1 uiii>(-. kJ<l2JJcd. r <br />fc-’EMov.>cr\o . <br />fif?.- 'i.v * • 1 <br />4. <br />Z''/• - V.. f <br />t •%> «
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