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City of Orono <br />Variance Application <br />Street Address: <br />2750 Kelley Parkway <br />Orono. MN 55356 <br />Main: ”52-249-4600 <br />fax: 95;'-249-4616 <br />Mailing Address: <br />P.O. Box 66 <br />Crystal Bay. MN 55323-OC66 <br />Application # <br />Date Received: <br />Amount Paid: 7700 <br />Staff: ^ <br />Fee: S600 <br />Renewal: $300 <br />After-the-fact; S1.20O Doub'e Fee <br />This application form must be completed in full. App icant will be notified within 15 days as to the stabs of the <br />application. Incomplete applications will not be placed on Planning Commission Agendas. <br />^MATlONt f->/ I /yO /• yi / yy. __ <br />! ^0 ->SfyuJyi.L'ccrI ri ,/^iH\i\- <br />ion Number (PIN): ' /'7- //r7 — ^ 7 - ^X- -7 ^ <br />PROPERTY INFORMATION: <br />Site Address; <br />Property Identification Number (PIN): <br />(Attach legal description to application if not included on the survey.) <br />Date Property Acquired (month/year): '7123 □ Yes, I own the adjacent parcels. <br />Present use of property: IST Residential □ 0*Jier _________________________ <br />Zoning District: _________ <br />APPLICANT I <br />Name: <br />i^ORMATIQN: tCompletele <br />iP ox-? - A'7/~ 70J <br />omplete legal names and marital status required for each interested party) <br />Phone (home): - 45'// - 70JPhone (work); <br />Address: iX / ^/n .$ Tifx ri (ci r! i It! - <br />Email: , Cci'tt Fax: J~~~^2c^~ <br />OWNER INF <br />Name: <br />hpi'T^^s <br />(CoB^te^ega!(Complete Jegal names and ma.’ital status required for each interested party) <br />Phone (home): - V7/-- <br />Address: (RU . <br />Email; <br />I ! i . \/X ^ ________ <br />S" hfKjJy/xjr i> rj /c ff <br />. Phone (work); j3a.h/tA <br />Fax: ty ^ J - U7! <br />Estimated Project Cost: $DESCRIPTION OF REQUEST: <br />Describe the request in detail ^ttach additional sheets,^ necessary): ________ <br />/jtTrry^ C1 c>-^'^///♦tauL /\‘-L yC'S Xcx <br />tU--k.«'72 . <br />/ucf i.t^ yy -X <br />aJCiiJaT mla' eH^CxB^ <br />rx./7 > /w r ■ ^^t.'Lev. rA~exi^A <br />/ <br />rS <br />r. f <br />• •« <br />i.“ » '(d <br />1