Laserfiche WebLink
City of Orono <br />Variance Application <br />exhibit A <br />Stn9tAddnss: <br />2750 Kelley Parkway <br />Orono, MN 55356 <br />Application# <br />Data Recalva6; o«-/ <br />Main: 952-249^600 <br />fax 952-249^4616 <br />MaSktg Atkknss: <br />PO Box 66 <br />c'ryatalBay. MN 55323-C066 <br />8600 <br />Amount Paid: / J g;c> <br />Staff: <br />Fee: <br />^Renewal: 8300 ______________ <br />Qj^After-tha-tact 81^00 Double Fee <br />This applicatton form must be compteled in M. Applcant wfll be rwlified within 15 days ai to the status of the <br />application. Incomplete applications will not be placed on Planning Commission Agendas. <br />PROPERTY INFORMATION: <br />Site Address: i rul‘l/L ____________ <br />Property IdentificaQon Number (PIN): <br />(Attach legal description to application if not included on the survey.) <br />Date Property Acquired (month/year): pllTA □ Yes. i own the adjacent parcels. <br />Present use of property. ^Residential □O-Jier________________________ <br />Zoning District | __________ <br />Email: <br />INFORMATION: (Complete legal na.-es and nwrttal ^ <br />VI j£0\t\( I^ACmTA <br />\ ~ Phone(woifc): <br />lES <br />APPUCANT <br />Name: ____ <br />Phone (home) _ <br />Address: Un*=r U\ <br />IS required fbr each intarested party) <br />Fax: <br />OWNER INFORMATION: (Compete legal names a.-d marital staijs required fbr each intereated party) <br />Name: <br />Phone (home): <br />Address: ___ <br />Email:_____ <br />Phone (work): <br />DESCRIPTION OF REQUEST: EsUmated Project Cost $ __ <br />Describe the request in detail (attach ad^tional sheets if necessary): ________________________ <br />___________i c\A\fAZ.vA__________________________________________________________ <br />^5^29 S8