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City of Ororu <br />Variance Application <br />A <br />street Addnss: <br />2750 Kelley Parkway <br />Orono, MN 5S3S6 <br />Main; 952-249-4600 <br />fax: 052-249-4616 <br />Mailing Address: . <br />P.O. Box 66 <br />Crystal Bay. MN 55323-0066 <br />Application# <br />Date Received: <br />Amount Pa\ <br />Staff: <br />Fee: S600 <br />Ived: t//97l <br />lid: <br />Renewal: S3 00 <br />After-the-fecc $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: 10*70 Rnn/4 \xirj4 Oroni MnJ 5S3Sjr <br />Property identification Number (PIN): - // *7 . <br />(Attach legal description to application if not mcluded on the survey.) <br />Date Property Acquired (mprith/year): 7/a^ □ Yes, I own the adjacent parcels. <br />Present use of property: ^Residential □ Odier <br />Zoning District: ____________________ <br />APPLICANT INFORMATION: (Complete legal na.r.es and marital status required for each interested party) <br />Name: V*\n<viA^ oAto.* <br />.••hone (home): Phorie(^rk): <br />Address: ^ ^*// x//t/ <br />Email: )oAh /9 FaxV 7/£>o <br />OWNER INFORMATION: (Complete legal names and marital status required for each interested party) <br />Name: Avilnnrl _______________ <br />Phone (home)!Phone (work): 99a. •■/■o toCO <br />Address: afot g LaMa . S^l/ M a*// ccXiu/z,aM ^sz39y <br />Email:Fax. <br />DESCRIPTION OF REQUEST: Estimated Project Cost: $ <br />Describe the request in detail (attach additional sheets if necessary): ________________ <br />h