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City of Orono gjt. a <br />Variance Application <br />T <br />street Address: <br />2750 Kelley Parkway <br />Orono, MN SS3S6 <br />Main: 952-249-4600 <br />fax: 952-249-4616 <br />Mailing Address: . <br />P.O. Box 66 <br />Crystal Bay, MN 35323-0066 <br />Application # CK5>~ 3(0 <br />Date Received: 0^3 <br />Amount Pal <br />Staff: <br />Fee: <br />. on <br />Ciru <br />S600 <br />Renewal: $300 <br />After-the-fact: $1,200 Double Fee <br />This application form must be completed in full. Appicant 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: i^resA <br />MiimKor JProperty Identification Number (PIN)■f <br />O ma) ^ ^ <br />(Attach legal description to application if not included on the survey.) <br />Date Property Acquired (month/year): □ Yes. I own the adjacent parcels. <br />Present use of property: JZl Residential □ Other <br />Zoning District: :L f?_______ <br />APPLICANT INFORMATION: (Complete legal nar.es and marital status required for each interested party)------ ** * • f]__________________ <br />Phonelwork): C^u fi/4 <br />Name: <br />if we^isea*s a e^^ss* \wwiiipwvso w <br />*^^Apr AA/xf A-t*/iSt>/\ <br />Phone (home): ________________ _________ <br />Address: UK nr^Z a A iJ SS S^y <br />Email: pp-W.r~Vt<4Ar*Vt/>s«jA. ^ y^tioo > co/Vi Fax: <br />OWNER INFORMATION: (Complete legal names 8.*:d marital status required for each interested party) <br />“* T^g-rtr AAAr4-\A3eA,Name _________________________________________________ ________________________ <br />Phone (home): Phone (work): Cc (( GiH- ^\(o ~ VO <br />Address: Ht/feO Or^_ MaJ _________ <br />Email: ij^gA-arx/wi4/4-<Vi^a Fax: <br />DESCRIPTION OF REQUEST: Estimated Project Cost: <br />Describe the request in detail (attach additional sheets if necessary): ________________ <br />_________Odui /\ oO i\Q \j y<.____ifcirKilV.^ . irxosjsc. <br />yj0jC6o <br />▼ '•fOtf.oUQ <br />jo)IW<i t- AaouiI Lk <br />SUOK <br /><;li yos*f <br />A- r <br />lii^ ■•) <br />I •V, <br />< , <•'** ... <br />;j H