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City of Orono <br />Variance Appiication <br />Street A<kkoss: <br />2750 Keiley Parkway <br />Ororw. MN 553S6 <br />'''a <br />Main: 952-249-4600 <br />tax: 952-249-4616 <br />MalKng Address: <br />P.O. Box 66 <br />Ciystal Bay. MN 55323-0066 <br />Application# ^ <br />Date Received: <br />Amount Paid: i <br />Staff: JMdiaF <br />Fee: $600 <br />Renewal: $300 <br />After-the-fact: $1,200 Double Fee <br />This application form must be oompleled in tall. Applicant will be notified within 15 days as to the status of the <br />application. Incomplete applicationa will not be placed on Planning Commission Agendas. <br />PROPERTY INFORMATION: <br />Site Address: fToJi^sr- (AkJe LA-KShJA^r^______ <br />Property Identification Number (PIN): p-y - r/ - Z3 ~ Z*-f ^ <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: At Residential □Other ________________________ <br />Zoning District: ■ / A________ <br />APPLICANT INFORMATION: (Complete legal names and marital status required for each interested party) <br />Name: ^3t4 cZV /T"__________ <br />Phone (home): 9S2- 9W- Phone (work): (0/Z - 9Li - yo <br />Address: _________City: Zip: <br />Email: g. A-rT. /J£T~Fax: <br />OWNER INFORMATION: (Complete legal names and marital status required for each interested party) <br />Name: CoA£j^ Ar^cs /7~_______________ <br />Phone (home): 9.<2» <br />AJdrf-ss: 'T‘jasAaA. <br />Email: n> At7~. iOg7~ <br />Phene (work): _____ <br />______City: ______Zip: <br />______Fax: 677-. <br />DESCRIPTION OF REQUEST: Estimated Project Cost $ ^ orr., oc <br />Describe the request in detail (attach additional sheets if necessary): <br />__iJfci. husA________________________ <br />f-ttarA t- i ~ <br />/Jiand t uyiongy <br />yyrr G U.; « <br />J