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H <br />iiMSi <br />r: <br />\r <br />City of Orono <br />Variance Application <br />Stre^ Address: <br />2750 Kelley Perlcway <br />Orono, MN S53S6 <br />Main: gS2'249-4600 <br />tax: 952-249-4616 <br />MaKIng Address: . <br />P.O. Box 66 <br />Crystal Bay. MN 55322-0066 <br />Application# <br />Date Received: / fpU <br />Amount Paid. (rAvT-^^ <br />Staff: <br />Foe: MOO <br />Renewal: $300 <br />After-the-tact: $1,200 Double Fee <br />i <br />I <br />This applicallon form must be completed in full. App'Icant will be notified within 15 days as to the status of the <br />application. Incompieto applications will not be placed on Planning Commission Agendas. <br />PROPERTY INFORMATION: <br />Sits Address: Qav'y P]r\ \Jc^ <br />Property Identification Number (PIN): ____ <br />Oirpyin , Mk\ <br />(Attach legal description to application if not included on the survey.) <br />Data Property Acquired (month/year): lO/nU □ 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: \A/AtAAlonlA '• M«rlf4</t VA/iii i/nljnlJ___________ <br />Phone (home): ibcD4t43^ .ttVi A Phone (\wrk): ^ac7r) 4^^o <br />Address: AtkaA«VK^ &i\jA . kik^ <br />Email: c ^ia XkViyuft iiA/r.n . fM: NO CC^ <br />hct^ucti <br />OWNER INFORMATION: (Complete legal names and marital status required for each interested party) <br />Name: <br />Phone (home): <br />Address: __ <br />EmaM: <br />Phone (work): <br />Fax: <br />DESCRIPTION OF REQUEST: Estimated Project Cost: $ <br />Describe the request In detail (attach additional sheets if necessary): ______________ <br />i; <br />I <br />9 9 <br />“ii'S-** <br />V n r. <br />t 4 <br />/• <br />t <br />«'•/ **i <br />i V. ■•as