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gA. /V Ulty or urono <br />Variance Application <br />street Address: <br />2750 Kelley Parkway <br />Orono, MN 55356 <br />Application # OS " ^5 ~7 <br />Main; 952-249-4600 <br />fax: 952-249-4616 <br />MaHhg Address: . <br />P.O. Box 66 <br />Crystal Bay. MN 55322-0066 <br />Date Received: ! <br />Amount Paid: <br />Staff: <br />Fee:S600 <br />Renewal: $300 <br />After-the-fact: $1,200 Double Fee <br />This application form must be completed in full. Applcant 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 Address: wefift&lZ. ffiLXS g>D <br />Property Identification Number (PIN): ni oooq <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: Residential □ Other <br />______I^tl6Zoning District: <br />APPLICANT INFORMATION: (Complete legal nares and marital status required for each interested party) <br />Name: 7T _____________________________________ <br />Phone (home);^^» Phone (work):r/^:^ <br />Address: <br />Email: ^dBkdhm CPtt Faye . <br />OWNER INFORMATION: (Complete legal names a.'.d marital status required for each interested party) <br />Name: fxAfcA Ki. ^or><L <br />Phone (home): ^sx*4Tt#-|4t0S <br />Address: TiJeQ yjaAfteg., axs <br />Email: S@ ccur^ti <br />Phone (work): 2 ■ "iHi,- QvinsJ <br />Fax: <br />DESCRIPTION OF'REQUEST: • Estimated Project Cost: $ <br />Describe the request in detail (attach additional sheets if necessary): ___________ <br />• y <br />/ AnetTVi 1 ir- t i '/ <br />f'A Art>PITlrrtJ k'-yriiilJh I fU.'-A A t-r'-rnh'^ F-n\: <br />C-VATl.r^f/c::- Tr> U Att rr/.tN l!/■ n /:Hf i> (\ <br />' (r.v Ir'-’I I__________________ <br />t ‘t' tT'U\IK- / L U. >i/:\ (n fcrr ; <br />A4A I •( Ur f-i Arrr>ty.<-U A-\X‘ <br />r^? { <br />p L.-' <br />I' . <br />A <br />mtiaMk