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1^4: <br />City of Orono <br />Variance Application <br />street Address: <br />d 2750 Kelley Parkway <br />^ Orono. MN 55356 <br />11 <br />@Main: 952-249-4600 <br />®^fax: 952-249-4616 <br />Mating Address: . <br />P.O. Box 66 <br />Crystal Bay, MN 55323-0066 <br />Application # \ <br />Date Received: eJL hnloK <br />Amount Paid:, 0^ <br />Staff: K{jA£u/\u^ Tur^t'i <br />Fee: S600 <br />V, Renewal: $300 _____________ <br />V'After-the-fact $1,200 Double Fee <br />This appHcaiion form must be completed In full. Appleant will be notified within 15 days as to the status of the <br />applicaUon. Incomplete appllcatione will not be placed on Planning Commission Agendas. <br />PROPERTY INFORMATION: ^ <br />Site Address: <br />Property Identification Number (PIN): ___________ <br />(Attach legal description to application if n<^ included on the survey.) <br />Date Property Acquired (mwtIVyear): 10/□ Yes, I own the adjacent parcels. <br />Present use of property: ')P Residential' □ Other________________________ <br />Zoning District: <br />APPLICANT INFORMATION: (Cyrtplete legal nares and marital status required for each interested party) <br />Name: 'lU >_______________ <br />Phone (home): -Jl/ <br />Address: <br />Phone ^ <br />Email:Q> Mi<Aj Fax: *^5^ -^7? <br />OWNER INFORMATION: (Complete legal names s.'-.d marital status required for each interested party) <br />Name: <br />Phone (home): <br />Address: ___ <br />Email: <br />Phone (work): <br />Fax: <br />DESCRIPTION OF REQUEST: Estimated Project Cost: <br />Describe the request In detail (attach additional sheets If necessary): ________ <br />AjLtJi of'. ^ <br />U <Oi f/ '? 'f't ■' • r*% <br />..1 <br />f <br />"'•1