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"'TT'. <br />v;-; .V^ <br /><.<City of Orono <br />Variance Application <br />mrrA <br />street Addnaa: <br />2750 Kelley Parkway <br />Orono, MN 55356 <br />Application* r>S-^ ) 0 3 <br />Date Received: 3-T^? of~ <br />K .Main; 952-249-4600 <br />tec 952-2494616 <br />Maying Address: <br />P.O. Box 66 <br />Crystal Bay. MN 55323-0066 <br />Amount Paid: CpOQ. o o <br />Staff: hAjAa.L^ ',JL <br />Fee: $600 <br />Renewal; $300 <br />After-the-tiact; $1,200 Double Fee <br />This appNcalion form must be completod in ftjll. Applicant will be notified within 15 days as to the status of the <br />applicaiion. Incomplelt appllcationt will not bo placed on Planning Commiseion Agendas. <br />PROPERTY INFORMATION: <br />Site Address: IV.(. gJL <br />berfPIN!Property Identification Number (PIN)O-in * >3-5-v- <br />legal description to application if not included on the survey.) <br />Date Property Acquired (mon^ear); ______□ Yes, I own the adjacent parcels. <br />Present use of property: lElResidential □ Other______________________ <br />Zoning District: _________________ <br />APPLICANT INFORMATION: (Complete legal names and marital status required for each interested party) <br />Name: V o\> <br />Phone (home): 7<.v/ <br />Address: in Li gjt <br />Email: co <br />Phone (work): <br />______City: <br />Fax: <br />i- <br />Zip: Xr_3^i <br />OWNER INFORMATION: (Complete legal names and marital status required for each interested party) <br />Name: <br />Phone (home): <br />Address: __ <br />Email: <br />Phone (work): <br />______City: <br />Fax: <br />Zip: <br />DESCRIPTION OF REQUEST: Estimated Project Cost $ 0}^, <br />Describe the request In detail (attach additional sheets If necessary): AcL/«h« A <br />^■nrAfC—21—frsu' ^ <br />r, p .o ':! <br />f. * <br />t • <br />i: <br />? .r » <br />r -*.y