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it'. <br />City of Orono <br />Variance Application <br />street 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 55323-0066 <br />Application# <br />Date Received: / ffhf <br />Amount Paid; <br />Staff: /il^f/UJi?. <br />Fee 5600 <br />Renewal; $300 <br />After-the-fact: $1,200 Double Fee <br />This application form must be completed in full. Ape leant 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: 'D)r\0}rn\An , Mv\ <br />Property Identification Number (PIN): <br />(Attach legal description to application if not included on the survey.) <br />Date Property Acquired (month/year): |0/d4 □ Yes, I own the adjacent parcels. <br />Present use of property: □ Residential □ Other ___________________________ <br />Zoning District: _____________________ <br />APPLICANT INFORMATION: (Complete legal nares and marital status required for each interested party) <br />Name: .*yniA ^\MurJ VA/z^tiruUrrHr \A/auinhr:)lJ <br />Phone (home): DtilPi ___Phone (work):Phone (work): MTD <br />Address: _ <br />Ernail; . ia)/j & iiA/r.n . /ir.i/v^_______Fax: ^/0Z'NO {iMv <br />1 if't'tfTTT <br />OWNER INFORMATION: (Complete legal names a"d marital status required for each interested party) <br />Name: <br />Phone (home): <br />Address: ___ <br />Email: <br />Phone (work): <br />Fax: <br />DESCRIPTION OF REQUEST: Estimated Project Cost: $ <br />Describe the request in detail (attach additional sheets if necessary):___________ <br />C-• » <br />i ' :v <br />If <br />V ^ *1