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City of Orono <br />Variance Application <br />1^^ <br />!^ieS'u <br />Street Address: <br />2750 Kelley Parkway <br />Orono, MN 55356 <br />• <br />Main: 952-249-4600 ■ <br />fax 952-249-4616 <br />Mailing Address: <br />P.O. Box 66 <br />Crystal Bay, MN 5532343066 <br />Application # <br />Date ReceiveC' <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: SL*^oc> “^oouc) <br />P.-’operty Identification Number (PIN): X\ \v~l S2, OOOM <br />(Attach legal description to application if not included on the survey.) <br />Date Property Acquired (month/year): ft.gc'v.\ crz. □ Yes, I own the adjacent parcels. <br />Present use of property: ® Residential □ Other ___________________________________ <br />Zoning District: ______ <br />APPLICANT INFORMATION: (Complete legal narr.es and marital status required for each interested party) <br />Name: -^eoors, ________________k ^ojck - <br />Phone (home): <4ol Phone (work): <br />Address: votoO -\-e>y>.Vcxx.»aap> _____________ <br />Email: Ga\.A>rrvcur^c-- cc .qnv -v_________Fax: Mo v. ^ U <br />OWNER INFORMATION: (Complete legal names ard mantal status required for each interested party) <br />Name: ______^e-e. e-_______________________________________________ <br />Phone (home): _________________________ <br />Address: _______________________________ <br />Email: <br />Phone (work): <br />Fax: <br />DESCRIPTION OF REQUEST: Estimated Project Cost: $ SQOo/ <br />Describe the request in detail (attach additional sheets if necessary): "To cxSXou:^ <br />O Q c>ca(\ o$oo\.<^ <br />^ . _ “v _ 7AVbg- ~~VS 0’e><3'\ ^ V^.v^.g- cvjc ^s^ cr.’cegAcg. c>^ xso>jtv.awxaA. <br />Wcyg, cX-C^ycooex^ ^o>\r -VVe, (oM uy -i-p-^V <br />•W\g- Vsca^ce. \h(\\xvfv.<a.\o«>^'qoolVvA m. <br />^Vejcxs.e. Se.e_ Y:aag^C■>roca^^c) U \ <br />/- r :•• ••••f : \ ' <br />k . .C a .