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^i&rr A <br />City of Orono <br />Variance Application <br />StT00t Address: <br />2750 K«lley Parkway <br />Orono. MN SS356 <br />Man: 952-249<4600 <br />fax: 052-249-4616 <br />Mailing Address: <br />P.O Box 66 <br />Crystal Bay. MN 55323-C066 <br />Application# CJ <br />Date Received. ^ - i <br />Amount Paid. / aTY^t ^ <br />Staff: ,l L, i >. ■' . ^ <br />Fee: S600______________ <br />Renewal:S300 <br />After-the-fact Si.200Dojt3:e Fee <br />This applicaton form must be completed in ful AppTcant will be notfed witnin 15 days as to the status of the <br />a;pi caton Incomplete applications will not be placed on Planning Commission Agendas. <br />PROPERTY INFORMATION: . . rv . O , <br />Site Address; /VW IdtAy^ iC<L <br />Property Identification Number (PIN): og- 7-^J-YJ - ooo</ <br />(Attach legal description to application if not included on the survey.) <br />Date Property Acquired (month/year): □ Yes, I own the <br />Present use of property: ti Residential ^ □ Odier <br />Zoning District: uQ. - / C._________ <br />Yes. I own the adjacent parcels. <br />APPLIC/^T INFORMATION: (Complete leoal nan-es end marital status required for each interested party) <br />Name; ^ L^ric\ct Koi\r^.r\e,y <br />Phone (home): CrV..3-^qM- pAr>r.^nr <br />Address: <br />_ Pnone (work): /i <br />WnV.'d.. A>\rV <br />Email: rv\ri. fP. r/orr\ <br />OWNER INFORMATION: (Complete legal names «'d mar^i status required for each interested party) <br />Name; ^ ' <br />7u <br />Fax: <br />atus required <br />fwc, A. <br />Phone (home): QlMi - ^M ______^^hone (work): cxhf/ <br />Address: <?yS3~ v^»V>>e, AVia ; <br />Email: 7iCv-Vr:3g a ^ Fax: “)~V <br />DESCRIPTION OF REQUEST: Estimated Project Cost $ pU^ifOon <br />Describe the request in detail (attach additional sheets if necessary): _____________, ______ <br />rO rcr |Ma.f*yi4A ^.4~ <br />■» <br />V <br />s <br />V ji. <br />,'r'„ <br />f! '■