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City of Orono <br />Variance Application <br />street Aceress <br />2750 Kelley Parkway <br />Oror.o. MN 55356 <br />Mam 9S2-243-4S:0 <br />fax: 952-249-6616 <br />Mailing Address <br />P.O Box 66 <br />Crystal Bay. MN SSSaC'-CCeS <br />App ication 0 <br />Date Received <br />Amount Paid <br />Staff <br />Fee <br /><7 -z. <br />3S6oa <br />Renewal: S300 <br />After-the-fact 51,200 Douoe Fee <br />This application form must be completed in full App cant will be n^tired with<.n 15 days as to the status cf the <br />application, incomplete applications will not be placed on Planning Commission Agendas. <br />•^flTKxJyJlL'L Crl f\ // ^iI, <br />f /T’-. //^ j J - A/JL^ V ' <br />PROPERTY INFORMATION: <br />Site Address: ^ 1^0______ <br />Property Identification Number (PIN):__________________ <br />(Attach legal description to application if not included on the survey.) <br />Date Property Acquired (month/year): 7/«^o □ Yes. I own the adjacent parcels. <br />Present use of property: Iff Residential □ Ouher _________________________ <br />Zoning District: _________ <br />S^'37 / <br />APPLICANT II <br />Name: 7 <br />^ORMATIi <br />SIS^ <br />riyj : ^ompplete legal na“es and rrantai satus required for each iPte'ested party) <br />Phone (home): _________________ <br />Address; luy dyf‘ <br />Email: c tr.:yc^hc^c. <br />£L <br />Phone (work). _______________ <br />Fax: <br />OWNER INFQIWATION: (Compete Jegai names s*d mantal status required for each interested pa.'ty) <br />Name: rrj^S ___________________ __________________ <br />Phone (home): <yC:2 - VV/- • Phone (work): Sc<tu^_____________ <br />Address: (QO \^heuJ\/’Juw ff! /<crs^iL <br />xirvi / .Email:■dp I'rh^ <br />DESCRIPTION OF REQUEST: <br />Fax: <br />Estimated Project Cost: $