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oiiy OT urono <br />Variance Application <br />! i street Addnss: <br />2750 Kelley Parkway <br />Orono, MN 553S6 <br />Main; 952-249^00 <br />fax: 952-249-4616 <br />Manirtg Address: . <br />P.O. Box 66 <br />Crystal Bay, MN 55323-0066 <br />Application # QS ' 3 /V 3 <br />Date Received; 7j__ <br />Amount Paid: <br />Staff: <br />Fee:$600 <br />Renewal: $300 <br />After-the-fact $1,200 Double Fee <br />) •• <br />This applica^ form must be completed In full. Applcant will be notified within 15 days as to the status of the <br />application. Incompitte applications will not be placed on Planning Commission Agendas. <br />PROPERTY INFORMATI9M^ <br />Site Address: "7 y^ / <br />Property Identification Nubiber (PIN): rr- <br />(Attach legal description to application If not included on the survey.) <br />Date Property Acquired (montiyyear):j?;^/:^r^ □ Yes. I own the <br />Present use of property: l&^sldential □ Other <br />Zoning District: <br />I own the adjacent parcels. <br />Address: <br />Fax: ^ <br />Nam^^ INp^^MATION; (Complate legal names 3."d marital status required for each interested party) <br />Phone (home): _ <br />Address: ______ <br />Email:Fax: <br />DESCRIPTION OF REQUEST: <br />tall (a_ Estimatsd Project Cost* S <br />^scribe th^req^t In detail (attachjadditional ^ets If nej»$sary): ’ <br />'4'i^ <br />#3143