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City of Orono <br />Variance Application <br />o\ <br />Stmol Addross: <br />2750 Kelloy 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 55323 0066 <br />Application # Z <br />Dale Received; /zj.i <br />Amount Paid: ___ <br />Staff li Ul/m ir <br />Fee: $600 <br />Renewal; $300 <br />Aftor-the-fact: $1 ,2 00 Double Fee <br />This application form must be completed in full. Applicant will be notified within 15 d.ys 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 \Jt? iJ- <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 />Present use of property: □ Residential /CToTher \0i;aiT>-r,j i vcaiJAs.w- <br />Zoning District: ______ <br />APPLICANT INFORMATION: (Complete legal names and marital status required for each interested party) <br />Name; _____ <br />Phone (home): <br />Address: dJcp J. <br />Email: <br />____Phone (worlv): <br />Fax: <br />OWNER INFORMATION: (Complete legal names and marital status required for eacli interested party) <br />Name: ** d?^___ _________ _____ . <br />Phone (home):________ ______^ _ Phone (work) <br />Address: d ________ __ __________ <br />Fmail ____ __ _________ _ __ Pax: <br />DESCRIPTION OF REQUEST: Estimated Project Cost: $ <br />Describe the request in detail (attach additional sheets if necessary):_______________ <br />V^Mo ^A V/Api/v-K^ "fb cY/lotJ 'T*tL <br />JA *?TAM/A-r.«=w-A . A -- - ltOuNlir?f„ jCaCY!.ri_^<3%4 • <br />W A*d <br />i