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r <br />City of Orono ^ <br />Variance Application <br />Street Address: <br />2750 Kelley Parkway <br />Orono. MN 55356 <br />Main: 952-249-4500 <br />fax; 952-249-4616 <br />Mailing Address: . <br />P.O. Box 66 <br />Crystal Bay. MN 55322-2056 <br />Application # f)Q - <br />Date Received: DQ- <br />Amount Paid. <br />Staff; <br />Fee- S6C0 <br />Renewal: S300 <br />After-the-fact; SI.200 Double 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: l^-^^lO Arbcn^ , l<\lr:w , MnI <br />Property Identification Number (PIN); I ~T <br />(Attach legal description to application if not included on the survey ) <br />Date Propeity Acquired (rnonth/year): "y /(ptj □ Yes. I own th* adjacent parcels. <br />Present use of property.^ ^Residential Other <br />.Zoning District:r • r.- <br />APPLICANT INFORMATION: (Complete legal nar-es and marital status required for each interested pa.iy) <br />Name: ncrrvcu.5 l-iAAtrVbU<-t\. “SlTutrC T<.V»ia ‘fs'brg.tow-__________ <br />Phone (home): - 3c-/?fc:________ Phone (work);* *^/2. <br />Address: liql Tr^Ml , , M /sl _________________ <br />Email: .co-n Fax: <br />OWNER INFORMATION: (Complete legal names a.'d marital status required fur ench interested party) <br />Name; (Z • tZx ^ <br />Phone (home): -tvi. - - o4A^'___________Phone (work); <br />Address: ^ >v-> <br />Ernail. ^_____________Fax. <br />DESCRIPTION OF REQUEST: Estimated Project Cost; $ 3^) c*dcj <br />Describe the request in detail (attach additional sheets if necessary); * <br />, AcAr^Jrchcci. -\r:> <br />gr he (AC f r. r>4krrm<f>./i -jc <-) Ci-(->/ <br />\uer' cl.c- .** <br />-:>rglf. gV hc<AC Co rrVcrrm<n./i -jc <J c or' cuvt.. ^ <br />aM tvrcrianf^-r? ^hcdl ^ )»U> ' V:.v)j <br />C cyu- V ^*1 ■ ____________ * _______ <br />T'? ^ il H& J) <br />A f\S.