Laserfiche WebLink
EXHIBIT A <br />f <br />ng Form <br />jr pre-application meeting.*) <br />Oniv: <br />rime:h I <br />CpPT. ^0-^"' <br />iplete proposal, inform them of the <br />jlicies or regulations that create <br />’-/z-donh <br />tback jS^’Front Yard Setback /unJ-clf"- <br />□ Lot Width <br />’/n-'j.n 1 iil/. f u! V _______ <br />')dSL/in ZlleO Ijhfic <br />the Hardship Documentation Form, <br />5d to them, and is aware that it must <br />notion with their formal variance <br />pted without a pre-applicat'on <br />aff. <br />Dale: y-/^-oy <br />City of Orono <br />Variance Application <br />Street Address: <br />2750 Kei'ey Parkway <br />Orono, MN 55356 <br />Main: 952-249-450Q <br />fax. 952-249-4616 <br />Mailing Address: <br />P.O. Box 66 <br />Crystal Bay, MN 55323-0066 <br />Application U O^- .^Qc/ p <br />Date P.ece.ved y <br />Amount Pad C oOO- OO <br />Staff: <br />Fee: <br />rcc^ <br />S60Q <br />Renewal: S300 ______________ <br />After-the-fact: Si,200 Double Fee <br />This application form must be completed in full. Applicant 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: /ocS" <br />Property Identification Number (PIN); 7 0 - // r - 7 r a - c c’’ dt <br />(Attach legal description to application if not included on the survey.) <br />Date Property Acquired (month/year): /’ /os □ Yes. I own the adjacent parcels. <br />Present use of property: B Residentia □ Other <br />Zoning District; /g/g- / /}__________ <br />APPLICANT INFORMATION; (Complete legal names and mantal status required for each interested party) <br />Name; s'rfvcv Pesisi/frO, /-rfr~/Vccgv <br />Phone (home); 9TL- ^?r’-___________ Phone (work); 6,/z - 5~9'2- 7/'co <br />Address; /doc //>vr~A /C ^ V S~S~3 S~(:^ <br />Email; /'ex. 5/,4.v e. co'-<-Fax; <br />OWNER INFORMATION; (Complete legal names and marital status required for each interested party) <br />Name; STci/ftv <br />Phone (home): f5^^- tiriC'OoCP ___________ Phone (work): g/v- T97- 7/'O cj__________ <br />Address: /OOS~ r^>cyt^ , C>‘Cc>aJ^ S~T3S~6______________________ <br />Email; c —/>< ggrr _________________ Pax: 9S'2- /y3S~__________ <br />DESCRIPTION OF REQUEST: Estimated Project Cost: $ V2). <br />Describe the request in detail (attach additional sheets if necessary):__________________________ <br />_____/aJ^' aLe a -rij -rTr-e vta-TC/g StT7?Ac./i <br />QoOC u)e /hi^ /}c-<ra /j UArtz^aA/as. ____ <br />_____A A^AY/MUM /fccessorzy" srntuc-rurCS C Ar.e <br />/fUL POS/^yfCy 5>/Ct iL-U/.Ud- C-c £A rTS / <br />/*7~). ^ A<~30 a/EEA^ <br />Hcjt^fuey. 77/rJ Cyjii <br />A<r (F. <br />/^c»vT~ •/'/KJ? qe-77-7,^^ L^Arir^*J CjE, <br />UA/^eT7D'‘~rUr/^en~) /} r~ marZ t-cc-ajpc^ <br />S- ^ A A Q- <br />f ^ <br />■J