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I <br />5 > <br />•1 <br />m <br />X <br />ip j <br />ill <br />City of Orono <br />Variance Appiication <br />street Address: <br />2750 Kelley Parkway <br />Orono, MN 55356 <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 />Application It 3^3*^ <br />Date Received: <br />Amount Paid: oa. Oo <br />Staff: JuUJrjiTr g <br />Fee: S600 <br />Renewal: $300 <br />After-the-fact: $1,200 Double Fee <br />This appUcation form must be completed in full. App'icant will be notified within 15 days as to the status of the <br />application. Incomplete applications wili not bo placed on Planning Commission Agendas. <br />PROPERTY INFORMATION: , . , <br />Site Address: jUofHii iSnV^e. ________ <br />Property Identification Number (PIN): jp ~f/'7^ J/5SI-O09^ <br />(Attach legal description to application if not included on the survey.) <br />Date Property Acquired (month/year): ° Yes, J own the adjacent parcels. <br />Present use of property: □ Residential Oil <br />Zoning District: ___________ <br />/ / U-1 I I WYVII \ <br />Other rS^hoPL <br />Phone (home): <br />Address <br />Email <br />APPLICANT INFC^III^TION: (Complete legal na.Tes and marital status required for each interested party) <br />Name: M// SoJi/fivL of JnJfj.._____ ■ ■___________ <br />B (home): ’ ^Phone (work): <br />'8s:^AJ. L^^Lupei tj/AXfZAJjL /yjjQ <br />: irjrj^J^I/S/LhjQOLtnn.OrjL Fax: <br />OWNER INFORMATION! (Compjele legal names c.*d marital status required for each interested party) <br />Name: jJtlf 6cJiooL /nC • <br />J Phone (work):Phone (home): <br />Address: oZ/X <br />Email ' <br />Ph6ne(work): 9SHP'-¥7Sr^. <br />UkufZJL/L /h/u <br />* Fax: <br />-3/00 <br />DESCRIPTION OF REQUEST:Estimated Project Cost: $ /OO, OOO ' <br />Describe the request in detail (attach additional sheets If necessary): <br />________^1. rxihM/'jkiAL ____________~________________ <br />tmrn'm I <br />7^3133 i <br />i