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City of Orono /I <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 />Moiling Address: . <br />P.O. Box 66 <br />Crystal Bay, MN 55323-0066 <br />3iLO <br />Application # <br />Date Received: i/ns <br />Amount Paid; (.^CXD. <br />Staff: _AA u Jc U\)4> , <br />Fee;S600 <br />Renewal: $300 <br />After-the-fact $1,200 Double Fee <br />This application form must be completed in full. Applcant 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: ftzS (^o€Kci <br />Property Identification Number (PIN): oe ~ ill - 2.3 - / ooo z <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: □ Residential □ Other of <br />Zoning District: 200. <br />APPLICANT INFORMATION: (Complete legal nar.es and marital status required for each interested party) <br />Name: ^ ___________ <br />Phone (home); $:vyAt>i^Phone (we rii^ r^Jr/^ 33^^ <br />Address: 0/ii^ <br />Email: r»*A.4< ft \)*St. <br />gyy At>2 <br />Hij <br />Fax: -743 - ^V$- <>2oV <br />OWNER INFORMATION: (Complete legal names end marital status required for each interested party) <br />Name: Al.c X*//« Al«.re _______________________ <br />Phone (home): 134- ss«? - iz ft 7 Phone (work): "74 3 > WZ - ~ <br />Address: . riKf <br />Email: -F Fax: <br />DESCRIPTION OF REQUEST: Estimated Project Cost: <br />Describe the request in detail (attach additional sheets jf necessary): <br />^L-.< L <br />______^jiAjt__^ <br />^ prt0\Jr^-A <br />/“<• «.JC <br />JTI ^ M "/ia^«• <br />S4'^^S A;/(x#4e e^j! <br />_______________________________________ <br />// er'-* “ .■’j' <br />fr <br />* <br />>rO JL