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City of Orono <br />Variance Application <br />1 <br />stmt Addnss: <br />2750 Kelley Perttwey <br />Orono, MN 55356 <br />I <br />Va/A <br />Main: 0S2-249^00 <br />fix: 952-240-4616 <br />Mailing Addnss: <br />P.O. Box 66 <br />Cryetel Bay. MN 55323-0066 <br />Application# I <br />Date Receivedi ~ p7 lO <br />Amount Paid: /t 00 <br />Staff: MflanHy <br />Fee: $600 <br />Renewal: $300 <br />After-the-toct; $1,200 Double Fee <br />TMa appication form must be completed In fUH. Applicant wM be notified within 15 days as to the status of the <br />eppHeetion. Incomplete epplicetiont will not be placed on Planning Commiseion Agendas. <br />PROPERTY INFORMATION: <br />Site Address: _______ VILA'S AirtAtH ^ <br />Property Identification Number (PIN): •“7/ II • 3 - ft <br />(Attach legal description to application if not included on the survey.) <br />Date Property Acquired (month/year): 6 *05 □ Yes, I own the adjacent parcels. <br />Present use of property: {9 Residential □ Other_____________________ <br />Zoning District U^\ Qi <br />APPLICANT INFORMATION: (Complete legal names and marital status required for each interested party) <br />Name: •I' igygff. c>J (^sTa <br />Phone (home): An. - <br />Address: <br />Email: <br />Phone (work): <br />_______City:fmL jl) Zip: ?S 3 <br />Fax: </n/- _______ <br />OWNER INFORMATION: (Complete legal names and nwrital status required for each interested party) <br />Name: X £ 4 £*DVfeL <br />Ai*7. - ^Phone (home) <br />Address: fift.vn'P <br />Email: <br />mPhone (work): <br />______City:f*n\H ueTKL<rA Zip: <br />Fax: 9g2 - ________ <br />DESCRIPTION OF REQUEST: Estimated Project Cost $ f^OO . <br />Describe the request in detail (attach additional sheets If necessary): _____________4^ <br />HI ■t <br />4b <br />. ^ di.