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City of Orono <br />Variance Application <br />:/oo <br />street Address <br />2750 Kelioy Parkway <br />Orono. MN 55356 <br />Main 952-249-4600 <br />fax; 952-249-4616 <br />Moiling Address <br />P O. Box 66 <br />Crystal Bay. MN 55323-0066 <br />Application it# (Jf-f ~ ^0^' <br />Date Receivec. / 0 (1 /' w <br />Amount Paid <br />stall JArStutZLi- <br />Fee; _56qo ____________ <br />Rcncv/al S300 <br />After-the-fact. 51.200 Double Fee <br />This application form must be completed in full. App .cant v/ill be notified within 15 days as to the status of the <br />application. Incomploto applications will not be placed on Planning Commission Agendas. <br />PROPERTY INFORMATION: <br />Site Addtess;___.V <br />Property Identification Number (PIN); <br />(Attach legal description to application if not included on the survey.) <br />Date Property Acquired (month/year); □ Yes, I own the adjacent parcels. <br />Present use of property; U Residential □ Other_______________________________________ <br />Zoning District; ______________ <br />applicant INFORMATION; (Complete letjal na.~£s and marital status required for each Interested party) <br />Name; ______\>nv:a«v ______( _________________________ <br />Phone (home); -tOi ___________Phone (work); ____ <br />Address;_s^- ............................... <br />Fmnil;__o lvc <■ AY \ \ co»- s *__________ Pax; _________________ ___ <br />OWNER INFORMATION; (Complete toga! names 8'd marital status required for each interested parly) <br />Name; VO AV.f.> v r v o(' r-v.■ <«.V\_________________________________ <br />Phono (home); vort-m <br />Address; V to•;>c «^t VO. ^V <br />F.mail; \ .t.o- >v.____________ <br />DESCRIPTION OF REQUEST; <br />____Phone (work); C-u Aa a s V <br />'T'xtU •l. V STC__________ <br />Fax; <br />Estimated Project Cost: $ I V0)^o<~ c <br />Describe the request in detail (attach additional sheets if necessary); V). _ w^r AcX Va .- \..- <br />A i . . t . . V. At ...v«*A<-Vvi Voc'j •'s A (\v f <br />__r^i s > ^'u<w£Os:N5UAhi;.ui>——r-' ■^ ^ <br />V.. t .w. ___cvyy.^-*wr-.vcVA^.J\P£i_5.-‘y*AUju —--a:ji-.uSiiS>.. <br />____\ y.J|( ts.*-. CV>-tL. «V LV V U X \ JO.- <br />AVo v.fV v-» ^ yv-i:- ^ WAt; tS S-AL - <br /><e».\ N'Fvfc. \i-oc eV VSv_V^^ ..,s.._. Vftn»-A>.rL’‘'-V__.r.'esiV_SJ.\-..SV:.S— <br />I Uj<.. A.V \A«-C \o Vc. iA_U.- <br />_____. Vs*. sJ*‘iS**'** ^r.'V \Ar^v- Vw.4.-.v-_ \s y-vM. <br />.1 ^_<y.N.\w *^^*~***-^** t c Ai c» <br />* ‘ ., 3 V '^r.F.r ;» 1*^*^ VAJuV ■s»«.y*-. V\ t -.V v-V-» Wc, vVtVW <br />^ V ‘ V^^-c. <br />^ Wo \v* <br />V i£ ,0- <br />f* ''V