Laserfiche WebLink
City of Orono <br />Variance Appiication <br />0cHli6n <br />Sfnsef Address: <br />2750 Kelley Parlc//ay <br />Orono, MN 55356 <br />Main; 952-249wJSC0 <br />fax: 952-249^616 <br />Mailing Address: <br />P.O. Box 66 <br />Crystal Bay. MN 55323-0C6S <br />Application # <br />Date Received. iq--OH <br />Amount Paid, f' o <br />Staff; I c—H <"<» <br />Fee: S500 <br />Renewal; S300 <br />,.-*~After^.ne-fact'-a S1.200 Dcub'e Fee <br />This appiication form must be completed in full. App“cant will be notified within 15 days as to the status of tne <br />application, incomplete applications will not be placed on Planning Commission Agendas. <br />PROPERTY INFORMATION: <br />Site Address; <br />Property Identification Number (PIN): <br />(Attach legal description to application if not included on the survey.) <br />Date Property Acquired (njoi^h/year): ________□ Yes. I own the adjacent parcels. <br />Present use of property: JS. Residential □ Other <br />Zoning District: L^) __________ <br />APPLICANT INFORMATION: (Complete legal na.~cs and marital status reouired for each interested party) <br />Name: ______CU.Name: 6 <br />Phone (home): <br />Address: <br />^ 6______ Phone (work): <br />Email: Fax: /yjiP-') <br />OWNER INFORMATION: (Complete legal names a.*d mental status required for each interested party) <br />Name: <br />Phone (home); <br />Address: 'ifit 7c/ylfrAf\Jfi- <br />Email: <br />___Phone (work): _________ <br />^uuwp 5y55~i <br />Fax; <br />DESCRIPTION OF REQUEST: Estimated Project Cost; $ <br />Describe the request in detail (attach additional sheets if necessary): ________________ <br />JyiiiiiiiMUii