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CAniDII MCity of Orono <br />Variance Application <br />Streot Address: <br />2750 Kelley Parkway <br />Orono, MN 55356 <br />Main: 952-249-4600 <br />fax: 952-249-4616 <br />Mailing Address: <br />P.O Box 66 <br />Crystal Bay, MN 55322-0066 <br />Application # C3 - 501^1 <br />Date Receiveo; iV 17 fC ^I <br />Amount Paid: M <br />Staff: JAmtei <br />Fee: S60 0 _____________ <br />Renewal: $300 <br />After-the-fact: $1,200 Double Fee <br />This application form must be completed in full. App.cant 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;(PftaAJ6 <br />Property Identification Number (PIN); <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 □ Oiher <br />Zoning District; ____________________ <br />APPLICANT INFORMATION: (Complete legal na.~es and marital status required for each interested party) <br />Name; A. __________________________ <br />Phone (home); ________Phone (work); Oz •• 3 - <br />Address: ______^7*^^ AUcoLLtr- ,s. <br />Email:J/^eis-re^ Fax: <br />OWNER INFORMATION: (Complete legal names 5"d marital status required for each interested party) <br />Name;_____j- Prrut ___________________________ <br />Phone (home):" V_______Phone (work); c:/;3 - <br />Address: ^______________________________________ <br />Email; Fax: <br />DESCRIPTION OF REQUEST:Estimated Project Cost; $.£3 ^ <br />Describe the request in detail (attach additional sheets if necessary); R:^rnx\/ <br />iAitXe A/Japt A -n LnUluCr. i'k - am <br />(I /a/I-M <br />>Ac*r <br />(a Ja V htd(L ^ DF SA*^£ <br />yt-c. j^itCHurAl /fp/^AJ an-/a A ___ <br />lA}K*UAJ\r Af'__i«Arta£-__ <br />lAMJtMft-' CoNr x.-v/ KfS/A/ Lir^^ __A ____ <br />_ fJ/j/4^ ^£KilrW^-^ fir4 £^f¥sf £:Ue\/jxr?i^i . ^viN( <br />fV^.A«S.C: //r- rvw . 4- 5>n?PS ~Tk fvtd v'iuc _____ <br />■A> Ca -h It:>/'^iJ play iaj P<e.oy:«X^tW ~Tn OK-tes, -4 ^Akvv.m>- .__________ <br />> <br />#» <br />^<nr 4__PHmS <br />% • <br />\JL. <br />-rt------ <br />S (*'■ <br />% •—■ vr ■ <br />/. 9% <br />A.V