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City of Orono <br />Variance Application <br />Street Address: <br />2750 Kelley Parkway <br />Orono, MN 55356 <br />Mam: 952-249-4600 <br />fax; 952-249-4516 <br />Mailmg Address: <br />P.O. Box 66 <br />Crystal Bay. MN 55323-C066 <br />Application # ^ <br />□ate Received. D^>7l\ /><■/ <br />Amount Paid; j/j Otj •<’ <br />Staff ; <br />Fee; S600 <br />Renewal: S30Q <br />After-the-fect; $1,200 Doupie Fee <br />This application form must be completed in full. App leant 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: rwiCi'ivI VlOCt.- i 0/6>10 <br />'jutTtD'Property Identification Nunroer (PIN): _____________________________________ <br />(Attach legal description to application if not included on the survey.) <br />Date Property Acquired (month/year): ^ jco □ Yes, I own the adjacent parcels <br />Present use of property: J3-Residential □ Other __________________________ <br />Zoning District:I^K I > <br />APPLICANT INFORMATION: (Complete legal naras and marital status required for each interested party) <br />Name: \Wir \-v wn W'v'c \cz\i'C^ H____________________ <br />Phone (home): <rtS7 - 4.\-Uq - <br />Address: LaS <L,v x Q'tZi! <br />Phone (wefk): LCIL - IS I ' ZHLcO <br />Email: 7umf Z P. ATSn . C ( .t-Vn Fax: QS2 -17^- up <br />'I'i-'iTtI<IY\7 • *7U5 - M'l"i - ^ 1 rO <br />OWNER INFORMATION: (Complete legal names a.‘d ma-htal status required for each interested party) <br />Name: ri.loov~t^_______________________________________ <br />Phone (home): _________________________Phone (work): ____________________ <br />Address: _____________________________________ <br />Email:Fax: <br />DESCRIPTION OF REQUEST;Estimated Project Cost: $ <br />[^scribe the request in detail (attach additional sheets if necessary): ___________ ^______ <br />-Vih g VhrUSf". USmu £'x-is-\nr>Ci <br />f 7 - atLrrt vr «-ut rcMY\& mh: €. )C(5\<hnc^. <br />O A