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City of Orono <br />Variance Application_____ <br />Stn§t Address: <br />2750 Kelley Parkway <br />Orono, MN 55356 <br />UlM'irii <br />Main: 652-249-4600 <br />tec 062-249-4616 <br />MsKlf}g Address: . <br />P.O. Box 66 <br />Crystal Bay, MN S532SO066 <br />Application# I <br />Date Received: <br />Amount J <br />Staff: <br />Fee: <br />yJtl'Mtri:, <br />S600 <br />Renewal: $300 <br />After-the-facc $1.200 Double Fee <br />This application form must be completed in full. Appkant 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 Addreea: *41(^0 UoiLtH AiLtA . <br />Property Identification Number (PIN): OC»in <br />(Attach legal description to application if not included on the sunrey.) <br />Date Property Acquired (month/year): M-ot □ Yes, I own the adjacent parcels. <br />Present use of property: tsCResidentlal □ Other___________________________ <br />Zoning District: ___________ <br />* ^PLICANT INFORMATION: (Complete legal nar:es and marital status required for each Interested party) <br />urne: r> U. ._____________________________ <br />Phone (home):_ Phone (work): ^1*43*/- IS‘0^ <br />Address: a<lw»a. r>ig-______g!^g-oic>r. twNa <kxl>4.______ <br />Email: FI2.iwr<uA A Hell «»jS.»ticwv\»6ov*^.._______Fax: . <br />OWNER INFORMATION: (Complete legal names sr.d marital status required for each interested party) <br />Name: 4^a4ncJc u Ftlwtujr.. . <br />Phone (home): Q<i-<4n2. __________Phone (work): LSi • 0/« /foz ._____________ <br />Address: *-(lrnO rCoAAM f>w <br />Email: ___________________________ Fax: . <br />DESCRIPTION OF REQUEST: Estimated Project Cost $ Do^ oao. <br />Describe the request In detail (attach additional sheets If necessary): ________________________ <br />vOcM-tA 4-u A G-a av A SS* ___________ <br />OSi. <br />-T^ v»*\i ^ac■^A^ A \3Afi■ Ao «vo Wah A •T'O . <br />\l Art >»tOC<_ C> TUe F'/to.o-4- g»*F Pr/AjdiPAt- <br />r u/»4t^rg •__________________________________________________________________________________________ <br /># C» Q Q 1 <br />f1 ih^ UlJ 1 <br />csik>r,^