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City of Orono <br />Variance Application <br />9«fh0>r A <br />street Address ’ <br />2750 Kelley Parkway <br />Orono. MN 55356 <br />Main: 952-249-4600 <br />fax: 952-249-4616 <br />Mailing Address: <br />P.O Box 66 <br />Crystal Bay. MN 55323-0066 <br />Application # 'JiJ - ( <br />Date Received; 0^ 1^0*-^ <br />Amount Pa d; jj t r0Q.(A^ <br />Staff: I HI <br />Fee: S600 <br />Renewal: S300 <br />After-the-fact: $1,200 Double Fee <br />This application form must be completed in full. Applcant will be notified within IS 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: ^eST «fef»iT Ljn>\^ <br />Property Identification Number (PIN): OT- //? -23 - 32 - 009^ <br />(Attach legal description to application if not included on the survey.) <br />Date Property Acquired (month/year): // -C>3 □ Yes. I own the adjacent parcels. <br />Present use of property: □ Residential JS Other VqCanT ______________ <br />Zoning District: LK" 1 ^___________ <br />APPLICANT INFORMATION: /Complete legal narss and marital status required for each interested party).aAName: ’TiPrOt^y , Aforc/q , Mangled <br />Phone (home): 6/Z • 7Zh _________Phone (work): sn^e <br />Address: /ji^ Aur S Minm^dpc/lsS5'H-0'7______ <br />Email; hef" __________________Fax: *7/^ <br />OWNER INFORMATION: (Complete legal names £*.d marital status required for each interested party) <br />Name: ________ <br />Phone (home): <br />Address: ___ <br />Email: <br />Phone (work): <br />Fax: <br />DESCRIPTION OF REQUEST: Estimated Project Cost: $ lZC>,c^o <br />Describe the request in detail (attach additional sheets if necessary); aA^ tlptr- <br />ciAg. la<A£. oAtd. i^O'^UHdie , /HSiSUi cL tHAXtd. cut o.t/. <br />Z. ^ ^i<tt jUAie A' h' XmXo' * 4^Lc yaAAi( Xb’ <br />U r. <br />:U <br />:%I 4 <br />/ <br />t W. <br />• I . <br />.jT n <br />f • *• •I* • <br />.J