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TiiliiAi ■ <br />City of Orono <br />Variance Application <br />'o* ■ <br />Street Address: <br />2750 Kelley Parkway <br />Orono, MN 55356 <br />iMl <br />Main: 952-249-4600 <br />fax: 952-249-4616 <br />Mailing Address: <br />P.O. Box 66 <br />Crystal Bay, MN 55322-0066 <br />Application# <br />Date Received <br />Amount Paid: _______ <br />Staff: t. Co Vw\jL <br />Fee: <br />; I <br />l jcx.y •• ■ <br />S600 <br />Renewal; $300 <br />After-the-fact: $1,200 Double Fee <br />This application form must be completed in full. Appicant will be noUfied within 15 days as to the status of the <br />application. Incomplete applications will not bo placed on Planning Commisr-ion Agendas. <br />PROPERTY INFORMATION: , J <br />Site Address: <br />Property Identification Number (PIN): <br />(Attach legal description to application if not included on thecsur^y.)' <br />Date Property Acquired (month/year): _______□ Yes, 1 own the adjacent parcels. <br />• aPresent use of property; )Ziv Residential □ Other <br />Zoning District: ____________________ <br />APPLICANT INFORMATION: (Comolete legal na.res and marital status requir^ for each interested party) <br />Name: f •ncnwrlTEcVX ----------------------------- <br />Phone fhorneV: Phone (work): _________ <br />Address: T~I2-C Kr»tB£e-Y>t.w‘T> lOC'n C.TVAMtShO'-jTN tvtni -------------- -------------- <br />Email: ^(p ’>m' t-VNXAr.’n r ^ -co«•>—v______________Fax.‘t5<;-^ ------------------------- <br />OWNER INFORMATION: (Complete legal names e-d marital status required for each interested party) <br />Name: A'go'a.N __________________________________________________ <br />Phone (home): hS ^ t: ^ V______________Phone (work):_________________________ <br />Address; \qSq tTsc-.ffss -pc.^3•r . •________ <br />i <br />Email:Fax: <br />DESCRIPTION OF REQUEST: Estimated Project Cost; $ <br />Describe the request in detail (attach additional sheets if necessary): <br />fsio ~^C' T\\^- V-/g*=»i_Vi--------------------------------------------------- <br />AT5tM-no<u \mOv w>> iN»sv'e A f-.E:— <br />Aioe* TS\^ P-________Om *TtVF- ^FPr-i«T________________{i]H2x <br />Uwi:.0cv> - rtfxUgl h Rr«i>T't»^xv-iT cF Cg\ s>c>FT TO T>|C__Et-iTfi-'Y v -»AY " <br />1 *