Laserfiche WebLink
i <br />i! <br />1 <br />1-1 <br />\#iiy VI wiviiv <br />Variance Application <br />Strsef Address; <br />2750 Kelley Parkway <br />Orono, MN 55356 <br />Main; 952-249-4600 <br />fax; 952-249A616 <br />Mailing Addnss: . <br />P.O. Box 66 <br />Crystal Bay. MN 55323-0066 <br />Application # ‘ 3/^*^ <br />Date Received; CH-i 0\y <br />Amount Paid: <br />Staff; <br />Fee; <br />ikJ; ,{/ I f 'no. Ofj <br />ih.'J/y A i r > <br />$600 <br />Renewal: $300 <br />After-the-fect $1,200 Double Fee <br />This application fbrm must be completed in fuD. 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 INFORMAIiCN: <br />Site Address: \v<J a.aiV'a M Kt <br />In Number (PIN): 'Property Identification Number (PIN): <br />(Attach legal description to application if not included on the survey.) <br />Date Property Acquired (mqnth/year): □ Yes, I own the adjacent parcels, <br />Present use of property; ^ Residential ' □ Other <br />Zoning District: ________________ <br />APPLICANT INFORMATION: (Completa legal nares and marital status required for each interested party) <br />Name: (!oArq ^ Lti rtn (.kri MrjrriOj <br />nmV ^ I t dwQ Ph#^rPhone (home): <br />Address; <br />Email;iruteJfYd-inC . CPiVi Fax: 9^- <br />Phone (work): <br />OWNER INFORMATION: (Complele legal names sr.d marital status required for each interested party) <br />Name: (bdni i Lij nr> fViri <br />Address: <br />Email: <br />____Mdr r/m , _______ <br />Phone (work):Phone (home): ____ <br />^ f^rC - i r%C. /* /^/>o Fax: MTl-pnSP <br />DESCRIPTION OF REQUEST: Estimated Project Cost: I fogxV).o^ <br />Describe the request in detail (attach additional sheets if necessary): _______________________ <br />^eiYtoxre. Avon-tiAn rr>/^f A-i4'ir -hr£.€rm b n-ti A n f~e.'L <br />pp/^ A cu Q^tT>rtAtt p ' <br />4* iV> (5 <br />(hr gnr <br />^nny 0 <br />&K4^ <br />1 <br />til <br />O <br />>1 >.vdM«e«iiirw