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FROM :FAX NO.jun. ^ I • A'w <br />City of Orono <br />Variance Apolication <br />$lr99t AddrBss: <br />27S0 Kftley Parkway <br />Orono. MN SS3S6 <br />Main: 9S2*240-4600 <br />tax 882-24M616 <br />MtllngAddfu: . <br />P.O. ftox66 <br />Cryatal Bay. MN 5533M066 <br />Appileationi <br />Data Racalvad: UVlIt^ <br />Amount Paid: Jhno <br />Staff: JAtifL^ <br />Faa; S600 <br />Renewal: 8300 <br />Aflaf-the-f^ 81.200 Ooubia Fee <br />TltN appIcaliDn form muat be oompMad in full. Appocant will ba natfflad within 18 days aa to the atatui of the <br />apptieaition. IneompIdilB •pplleiillonB wrill not be placed on Planning. Commlaaion Agendas. <br />e <br />PROPKRTY INFORMATION i O / 7 xv. i>l# A/‘ <br />SnaAddrofs: !%HS ^ OtOM. y/lAi ________ <br />Preoaitu Idanlificalion Numbof (PIN): 7 Ty <br />(Att^ legal daacriplion to application i^tpt included on tbo survey.) <br />Dale Properly Acquired (monttt/year): Sj^np^U Yes. I own the adjacent parcels. <br />Present uao of proper^: U Rfiidontial □ Other___________________________ _ <br />Zonino Dietriet: <br />^e • ee • <br />APPUC <br />Name ^__ <br />Phene (home) <br />Addreet <br />Email <br />ANT INFORMATION: (ComMlaeainarMyQdnMrildi <br />F«: 4M-3£ <br />for each interostad party)' ■ • <br />/as: <br />OWNER INFORMATION: (Complale legal names s.*.d marital status raouired for each interested party) <br />Name: S^AtL ___________ <br />Phone (home): _____________________ <br />Addreae: <br />Email: __________ ___ _______ <br />Phone (work): <br />Fax: <br />DEtORIPTION OF REQUEST;Estimated Project Cost: <br />DOjcrlbe the reqMst in d^il (attach addltlwa^yete^^ecway)-^________ <br />R I TllU UAlt AHMi .ii <br />■iiSimvML io.f.Uiifffh <br />ftrf. SifAAtX aAa-eeaT- re <br />OK rfyiiA'^ fa fla'^ lAi-J <br />AeAtut Avpkarf 0 <br />± metl Ha., <br />-J» WWM/