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r City of Orono <br />Variance Application <br />A <br />Street Address: <br />2750 Kelley Parkway <br />Orono. MN 55356 <br />i( u <br />Main; 952-249-4600 <br />fax; 952-2494616 <br />Mailing Address: . <br />P.O. Box 66 <br />Crystal Bay, MN 55323-0066 <br />X Application # <br />!r^ ^ Date Received: ~'2-l <br />Amount Paid: ^[^CC — <br />Fee: S600 <br />Renewal: $300 <br />After-ihe-facr. Si,200 Dcuaie Fee <br />This application form must be completed in full. Appxant will be notified ^within 15 days ^as to the Siatus of »he <br />application, incomplete applications will not be placed on Planning Commission Agendas. <br />PROPERTY INFORMATION: , k <br />Site Address; \U^O <od • <br />■ _ kt. /niM\.' • —I ^11—7.^ <br />O y'O vn. <br />Property Identification Number (PIN): t *7 — I o o I *7 <br />(Attach legal description to application if not included on the survey.) <br />Date Property Acquired (month/year): ^ jr")^ D Yes, 1 own the adjacent parcels. <br />Present use of property: ^jS.^Residentiai ' □ Other _____________________________ <br />Zoning District: L.^ I C <br />q < y.C- A -2^ Phonfe (work): <br />CJr^O Ua <br />APPLICANT INFORMATION: (Complete legal naras and marijal status required for each interested party) <br />Name: ’^orcv,/_L <br />Phonfe <br />Address: q *^~7J <br />Email: rVi <br />Q^'? g?‘2-<=T- C-,%11 <br />•> r /juw <br />OWNER INFORMATION: (Complete legal names a*d marital status <br />Name: _________________________ <br />et?ijirfeB for each interested party) <br />Phone (home): <br />Address: ___ <br />Email: <br />Phone (work): <br />Fax: <br />.DESCRIPTION OF REQUEST: Estimated Project Cost $ <br />Describe the request in detail (attach additional sheets if necessary): __________________________ <br />_____ C.C 07 — >__________________________ <br />Cr(jn^0.^ r ^>/"D ij <br />jAM(J I n ^4. riijr.:___r— r rrArt.wrs!>i--------------- <br />0..^^