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i <br />City ot Orono <br />Variance Application <br />Street Address: <br />2750 Kelley Parkway <br />Orono, MN S53S6 <br />Application # QS <br />Date Received;mu <br />-jf.! <br />Qv.?!fV <br />Main: 952-249-4600 <br />fax: 952-249-4616 <br />Mailing Address: . <br />P.O. Box 66 <br />Crystal Bay, MN 55323-0066 <br />Amount Paid; 4hOO <br />Staff ; <br />Fee;$600 <br />Renewal; $300 <br />After-the-fact; $1,200 Double Fee <br />This application form must be completed in fuli. App icant 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 INFORMATION: <br />Site Adoress: <br />Property Identification Number (PIN)-za- 2J4- oiii <br />(Attach legal description to application If nt^ included on the survey.) <br />Date Property Acquired (month/year): [p]□ Yes, I own the adjacent parcels. <br />Present use of property: ^ Residential □ Other <br />Zoning District: Lxl - lA________X <br />APPLICANT INFORMATION: (Complete legal na.r.es and marital status required for each interested party) <br />Phone (home): g Phone''(work): uit <br />Address. _____ DPt-tPY^^ <br />^/2jy.jija^in\p-r-cn'rvt> ^ .AroL.. Fax: <br />.l:. <br />'c\i t>C <br />OWNER INFORMATION: (Complete legal names a.*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 />|77 I ^ r iirM> r-h_____^*IJ , - cJ>-> ^ <br />6^A, u>o^aL^ /2_7^ /Z-' <br />CcY^^drb'^-^t> Ist^^ Gry\— -to c’J^ -fh-^ f^eyr^ <br />(cjl A oa ^ — U>HK> u4inJul=k^