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City of Orono A <br />Variance Application ________ <br />fo.^ C\ <br />street Address: <br />2750 Kelley Parkway <br />Orono. MN 55356 <br />Main: 952-249-4500 <br />fax; 952-249-4616 <br />MaiVng Address: <br />P.O. Box 66 <br />Crystal »ay. MN 55323-0066 <br />Application # I ~ <br />Date Received. (,■„ ; O i <br />Amount Pipid; <br />Staff; <br />Fee; <br />U U: <br />ll i:' t / f I ' <br />S600 <br />Renewal; $300 <br />After-the-fact; $1,200 Double Fee <br />This application form must be completed in full. App icant 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: ..o''^ / (J /aJ(^ j <br />J ‘7 /J JProperty Identification Number (PIN); ______________ <br />(Attach legal description to application if not included on the survey.) <br />Date Property Acquired (month/year); □ Yes. 1 own the adjacent parcels. <br />Present use of property; JS Residential □ Other ___________________________________ <br />Zoning District:____________________ <br />APPLICANT INFORMATION: (Complete legal na.-ss and marital status required for each interested parly) <br />Phone (home); ( V7/~ </y Phone (work); <br />Address; O c <br />Email:Fax: <br />OWNER INFORMATION; (Complete legal names ard marital status required for each interested party) <br />Name; // C V' /\/A/ ^ rC C ^ <br />Phone (home); ( VL' */7 Phone (work); <br />Address; l <br />Email;Fax; <br />DESCRIPTION OF REQUEST: Estimated Project Cost; <br />Describe the request in detail (attach additional sheets if necessary): <br />~/“O nJrf/lCc'.iT ^t^/Lctn Oa) <br />AyJL! 7 . An l~ 'f-L‘ .JJL 71/ nA/ ^ j 7c/J t- <br />4i #30 56 i <br />'i