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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 />tax: 952-249-4616 <br />Meiling Address' <br />P.O. Box 66 <br />Crystal Bay. MN 55323-3066 <br />Application # CXj — 3^50 <br />Date Received. /7-0^ <br />Amount Paid; %Lfi(DO' OQ <br />Staff A-A<c^r:<_n.r«^ <br />Fee. _ S6C0 ______ <br />Renewal;S300 <br />After-the-fact SI.200 Double Fee <br />This application form must be completed m full. Ape leant will be notified within 15 days as to the status o^ the <br />application. Incomplete applications will not be placed on Planning Commission Agendas. <br />PROPERTY INFORMATION: . <br />Site Address: OO iTllTl/ru Ht>€ <br />Property Identification Number (PIN): <br />(Attach legal description to application if not included on the survey.) <br />Date Property Acquired (month/year): flua .HaO □ Yes. I own the adjacent parcels. <br />Present use of property: D^Residentiar □ Other __________________________________ <br />Zoning District: ____________________ <br />APPLICANT INFORMATION: (Complete legal na-es and marital status required for each interested party) <br />Name: fYliJ^ DQeCMfUOm <br />Phone (homej: <br />Address; m4k'n . <br />Email; <br />Phone (work): Pb-Cjcr 2.0^M0o5> <br />pr> C r uj5fo.l Olr\• ^3 3^ 3 <br />Fax: ^ <br />OWNER INFORMATION: (Comclete legal names a'd manta! status required for each interested party) <br />Name; ry|;^» ITlcrJeH^^na <br />Phone (home); fCs_______Phone (work): <br />Address; 3inQ rryVl^i . Pr^ fV'vq^ T <br />Email: _____ <br />DESCRIPTION OF REQUEST: Estimated Project Cost; $ llO.CCf^i <br />Describe the request in detail (attach additional sheets if necessary): __________________________ <br />kZ) u>adLt>Yir. rLmrJ tpaiii/nQ . l[)QUTri --------------