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City of Orono <br />Variance Application <br />Street Address: <br />2750 Kelley Parkv* ay <br />Orono. MN 55356 <br />Main; 952-249-4600 <br />fax; 952-249 4616 <br />Mailing Address: <br />P.O. Box 66 <br />Crystal Bay. MN 55323-0066 <br />Application # ^ <br />Date Received: IP,-Ci */ <br />Amount Paid. C oCXD- Oc^ <br />Staff; _rcf ^ <br />Fee. _S600____________ <br />Renewal; $300 <br />After-the-fact; $1,200 Doub le Fee <br />This application form must bo completed in full. Applicant will be notified within 15 days as to ttie status of the <br />application. Incomplete applications will not bo placed on Planning Commission Agendas. <br />PROPERTY INFORMATION: <br />Site Address: /D ajT ______________________ <br />Property Identification Number (PIN); '.7 6 - // r - 7 R • - oo o <br />(Attach legal description to application if not included on the survey.) <br />Date Property Acquired (month/year): /c</p j_ □ Yes, I own the adjacent parcels. <br />Present use of property: K Residential □ Other ____________ __ <br />Zoning District: / /!__________ <br />APPLICANT INFORMATION: (Complete legal names and marital status required for each interested party) <br />Name: 5~7~gV c-V P^rTtreh A /^€XS,.4^. <br />Phono (home); •i’Jr'-___________ Phone (work); e/l - <br />Address: /oo*r //.r-v-7- c:,^r>nrc>_. _________________ <br />Email: «?-Fax:r'7:^s~ <br />OWNER INFORMATION: (Complete legal names and marital status required for each interested party) <br />Name; _ <br />Phone (home)- ^r2- W7f rc*iup___________Phone (work): __ <br />C>7.CAfa. <br />Fax: <br />C/l- 5~V7- y/'Ot'j <br />Address: /oos~ /X<vr' ry>»rj\^ jCo/t-jy, <br />Email: ^hve. C ry/c eirr r-o/K 9r2- <br />DESCRIPTION OF REQUEST: Estimated Project Cost: <br />Describe tlie request in detail (attiich additional stieets if necessary); _____ <br />__6 __Mpshc,72tJ£-Xa *.0 5Vr7»^AC/t_ <br />QOOC /Zeo.'^i/L^^er^n^ u)er AcJTc. ___________________ <br />____A AiA>f/r*iOAi /}C<.£SSca\^ K7 7.u <ltu /(S 7^err^rc.f.xf7~ C <br />___}Ij/. C c ___________/? ^/Cb 5^. /^'T: /9Tr/CiT5 A <br />y. rr).xt/iTcf^ <br />__Z2r'iP_ <br />y'/hdp ■SE-777/gci^ c£T, <br />A r~ aurZ _____