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City of Orono <br />Variance Application <br />Street Address: <br />2750 Kelley Parkway <br />Orono. MN 55356 <br />Main: 952-249^600 <br />fax: 952-249-4616 <br />Mailing Address: <br />P.O. Box 66 <br />Crystal Bay. MN 55323-0066 <br />I , Application# 0^^ <br />' Date Received. <br />Amount Paid ^ <br />Staff: <br />Fee S600 <br />Renewal: 5300 <br />After-the-fact; S1.200 Double Fee <br />This application form must be completed in full. Appicant will 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: _____rQSO <br />Property Identification Number (PIN): <br />(Attach legal description to application if not mcluded on the survey.) <br />Date Property Acquired (mpn^/year): L\(A □ Yes, I own the adjacent parcels. <br />Present use of property; J$|pe^identiaT' □ Other <br />Zoning District: _ \Jl^\ HT <br />APPLICANT INFORMATION: (Complete legal na.~es and marital status requ're J for each interested party) <br />Name: ___I * i\ \ > • : . t. ■ ■____V. >\»•t(■?_ ^ o' 'tjv ~ • <br />Phone (home): C- ^ <br />Address: _ <br />Email: <br />■> V, •-7"<r> »• J /•! 7 ( <br />_ Phone (v;ork):f 7 7 • 1 <br />hi»\-• o <br />Fax: <br />OWNER INFORMATION: (Complete legal names aid marital status '■equired for each interestec party) <br />Name: j- /•! i;*.. :i: • ' I o,. jTU o <br />Phone (home): ^ ji[ <br />Address: Sx ? o "Tr>. < <br />Email: <br />'\'J <br />Phone (work): <br />. .r : •• <br />I'ric <br />f> r.C < 't*- <br />Fax: <br />DESCRIPTION OF REQUEST: Estimated Project Cost: $ 7 yoo <br />Describe the request in detail (attach additional sheets If necessary): <br />— 6^1 id—ii Gltc.^______L8 f <br />-----K o*r\si----------1-----Lu-.ci,t__ o ^ <br />f i-i~i <br />K t.fcf-t ^0 Vi ft cr 51;; <br />-j