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t* <br />bAnioii ACity of Orono <br />Variance Application <br />street Address: <br />2750 Kelley Parkway <br />Otono, MN 55356 <br />Main; 952-249-4600 <br />fax: 952-249-4616 <br />Mailing Address. <br />P.O. Box 66 <br />Crystal Bay. MN 55323-0066 <br />Application # <br />Date Received <br />Amount Paid; iTi>i <br />Staff : <br />Fee _ S600 <br />Renewal;$300 <br />After-the-fact; $1,200 Double Fee <br />I his application form must be completed in full. App.canl v/ill be notified within 15 days as to ttie status of the <br />application. Incomplete applications will not be placed on Planniny Cotnmission Agendas. <br />PROPERTY INFORMATIONi^ O t <br />Site Address; <br />Property Identification Numb^ (P4W): ~ Jf ? - - (L'>C a (t>J. <br />(Attach legal description to application if notJncluded on the survey.)oynciuaea <br />Date Property Acquired (month/year); (/□ Yes, I own the adjacent parcels. <br />/ n n:horPresent use of property: ^ Residential ' □ Other <br />Zoning District: ______ <br />APPLICANT INFORMATION: (Complete legal nares and marital status required for each interested party) <br />Name: A Vvi-wi-Pr J ______________________ <br />Phone (home); Q.f, 1 • - cAf./Xp" Phone (work):, jiff of,). - 6>(g 7 - <br />Address: v^rO.- . <br />Email: <br />11 -rwr.^ <br />>U-/^f/r!:> tTjV ..Titbit..FaJc: <br />OWNER INEpF?MATION: (Complete legal rjames a'd fija^ital status required for each interested party) <br />Name; <br />tUKWIA I ILMM: (Complete legal i^mes c'd rna/ <br />^ 'A.-- ^lyVvvF/<^<.i^ ) <br />Phone (home); <br />DESCRIPTION OF REQUEST: <br />Phone (work); Q 6 ~ 7 3lf'/ <br />Fax: <br />pnone (nome); *• ^ryi ih~ n______ rnone (w< <br />Address: .i/? (l. Uvxf^ H t/;AT:, j I1)/C) Th <br />Email; riTiiV ^ <br />Estimated Project Cost: $ cX*! j"/ 1(l )A1 <br />^Describe the request in detaji (attach additicmal sheets if nece^ary): ^ <br />j(f>70-ncc 'T^.-(7 <//V'tV" <br />if L ** 'i ^ ( *I <br />1 » >* *tt » ♦ <br />^ V * <br />% -• <br />V <br />}