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City of Orono <br />Variance Application <br />'d it <br />SIroet Addross: <br />2750 Kelley Parkway <br />Orono. MN 55356 <br />Mam: 952-249-4600 <br />fax: 952-249-4616 <br />Mailing Address' <br />P.O Box 66 <br />Crystal Bay, MN 55323-0066 <br />Application U <br />Date Received: fill <br />Amount Paid: cOP ■ iX) <br />Staff: _ iiUJAUlL-___ <br />Fee; $60 0 _________ <br />Renewal: $300 <br />After-the-fact $1,200 Double Fee <br />This application form must be completed ir fuli. Applicant 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: o\it^ Og>f£=gt<Vtx ^g=A,-r >J-_________ _________________ <br />Property Identification Number (PIN): <br />(Attach legal description to application if not included on the survey.) <br />Date Property Acquired (month/year): / |S( Yes, I own the adjacent parcels. <br />/KTother ::=*c:AftouPresent use of property: □ Residential <br />Zoning District: _____ <br />APPLICANT INFORMATION: (Complete legal names and marital status required for each interested party) <br />Name: ^:g^3^Jc>^^1ei.lo3o)rvtL S» <?7fc»_______________________________ <br />Phone (home): ________________________Phone (wcrk): ^^l*A <br />Address: cjUb? rJ.__ <br />Email:Fax: <br />OWNER INFORMATION: (Complete legal names and marital status required for each interested party) <br />Name: og c>tJo dZii2 _____________ _ ______ <br />Phone (home): ___________________Phone (wcrk): <br />Address: aI_________ ______________ <br />Email _______ _____________________ _ Fax: <br />DESCRIPTION OF REQUEST: Estimated Project Cost <br />Describe the request in detail (attach additional shoots if necessary): ___________ <br />__hteW Cc<*itOuhiil>T—-------------------------- <br />rf <br />■I <br />rt.- M <br />'• f. <br />«3 fn <br />'ii Q <br />t •(i