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City of Orono <br />Variance Application <br />street Address: <br />2750 Kelley Parkway <br />Orono, MN S53S6 <br />Main: 952-249-4600 <br />fax: 952-249^16 <br />Mailing Address: . <br />P O Box 6G <br />Crystal Pay, MN 55323-0066 <br />Application f. Q 5-3 J 3^ <br />Date Received: os <br />Amount Paid: /ociO op <br />Staff: <br />Fee: <br />CUtA-k <. <br />Renewal: $300 ____________ <br />After-the-fact $1,200 Double Fee <br />•••• ^ . <br />This application form must be completed in full. Appleant will be notified within 15 days as to the status of the <br />application. Incomplete applications wiH not be placed on Planning Commission Agendas. <br />PROPERTY INFORMATION: <br />Site Address: “VIOC" <br />Property Identification Number (PIN): <br />(Attach legal description to application if notinciuJed^on t^^ui^^!)^ <br />Date Property Acquired (month/year): □ Yes, I own the adjacent parcels. <br />Present use of property: a Residentiar □ Other <br />Zoning District: ___________ <br />APPLICANT INFORMATION: (Complete legal nares and marital status required for each interested party) <br />Name: <br />Phone (homp) <br />Address <br />Email: <br />tM <br />..... <br />firWiA PfrB-K <br />r-<i^-Qi‘rr>,___________ Phone (work): ^ <br />^r4p7ft <br />J4ln TCyj />Fax: iJ-n. 91£> 3-7/C/C <br />OWNER II <br />Name: <br />Phone (home) <br />(^®*nplete ieoal names s.nd marital status required for ea^ interested party) <br />:^e^ ~ /j 3 ^ Phor^ (woik): ^ 776 <br />Address: . /n ^13T7 <br />Email: r\c <,nr7t^ Fax: <br />lii-ba <br />l^ditional sheets if necessarvt:fi <br />DESCRIPTION OF REQUEST: Estimated Project Cost. <br />Describe the request in detail (attach a^ jitional sheets if necessary): <br />w V :r j <br />- - -- * - - - ^