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City of Orono ^ <br />Variance Application <br />Street Address: <br />2750 Kelley Parkwav <br />Orono. MN 55356 <br />Main; 952-243^6:0 <br />fax: 952-24S-4616 <br />Mailing Address: <br />P.O. Box 66 <br />Crystal Bay. MN 55323-C066 <br />Application # 0 ^ <br />Date Received; \0^ <br />Amount Paid;t (cDO- r/i <br />Staff ; l\/l g-UM->i >> <br />Fee:S600 <br />Rene ’A3l: $300 ____________ <br />After-tne-fa^t! 51.200 Double Fee ' <br />This application form must be completed in full. Applicant will be notified within 15 days as to the status of trie <br />application. Incomplete applications will not be placed on Planning Commission Agendas. <br />PROPERTY INFORMATION: <br />Site Address: 0 4 'S <br />4 n .0^ y-( -S r c♦ . sProperty Identification Number (PIN): <br />(Attach legal description to application if not included on the survey.) <br />Date Property Acquired (month/year): -7 //> % □ Yes, I own the adjacent parcels. <br />Present use of property: 0 Residential ' □ Outer ____________________________________ <br />Zoning District: l(L\ i,____________ <br />APPLICA^^T INFORMATION: (Complete legal nar.es and marital status required for each interested party) <br />Name: t^ ^ nl>\e a VAt «>,._________ <br />Phone (home): c- Phone (work): V ir^ - <br />Address: o 4 ^ Crt sees 5A i<r\ ■ --s ?><~i 1 <br />Email: Cl.n.l/usyttr- r^.> fT\c IrIVi . crfrl_____________ Fax: _____________________ <br />N. ' <br />OWNER INFORMATION: (Complete legal names c.*d marital status required for each interested party) <br />Name: AIa _____1 |\’il ___________________________________ <br />Phone (horhe)O V^-^;> - Phone (work): 7^ • -V/'"/c <br />Address: C7«’sco A r^'cl t_______ <br />Email: u'.^iiic t II C ^(T>>i. Or. i?( Fax: <br />DESCRIPTION OF REQUEST: Estimated Project Cost: <br />Describe the request in detail (attach additional sheets if necessary): _______ ___ <br />}"\Ck t \ S *-* <-‘-lfC(- -----tici—- f <br />. A*. -=VC ,1 <br />k-ft Mat <••rrhh(i~; -fAr: v V\ r%. nj<- ^-(1 f |n. cii v <br />Ccncrtfi^ /tprifi’ n lo <br />|0<>>1r*rOh\ c\{C^, ^ ____________ <br />y n <br />■ r <br />0 u <br />^v. A >• vy <br />•< \ fT,*4 <br />•4