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City of Orono ^ <br />Variance Application <br />Stn%tAMntr <br />2750 Kcllty Parkway <br />Orono. MN 55356 <br />Main: 952-249-4€:0 <br />fax: 952-249^16 <br />MaShg Addnss: <br />P.O. 66 <br />Crystal Bay. MN 5532^66 <br />Applkatton# OH' <br />DataRacalvtd.~0'% \o^'~ <br />Amount Paid:Cl iO>0D _______ <br />Staff: <br />Fae: 5600 ' <br />Rene*A»!; <br />After-tna-fact <br />5300 ______________ <br />51.200 Double Fee * <br />This appGcation form must be completed in fol. Appxant will be notified within 15 days as to Ihe status of the <br />appHeatfon. Incomplata applications will not be placad on Planning Commiaalon Agendas. <br />PROPERTY INFORMATION: <br />Site Addrstf: <br />JKW1AIlun: /V ri l <br />“I A±C O \ ClProperty Identification Number (PIN):____________________ <br />(Attach legal description to application if not included on the survey.) <br />bate Property Acquired (month/year): -^/n \ □ Yes, I own the adjacent parcels. <br />Present use of property: □ Residential ' □ Other_________________________________ <br />Zoning District \ (*C__________ <br />APPLICANT INFORMAT^N: (Complete legal nares and marital status required for each interested party) <br />Name: ________________________________________ <br />U - CVrxT547<a .Phone (home): <br />Address <br />Phone (work): ■ ^,^4 » ;^l ~) yh <br />Fax: -Email: /jt) nrv?^h^t.ccm <br />OWNER INFORMATION: (C^^te legal names ard marital status required for tach intarested party) <br />Name: <br />iiDAPhone (home; <br />Address: <br />Email: ^AiiU <br />3^ ~ ^ Phone (work): <br /><gc»n Oi\ »7j Far . <br />DESCRIPTION OF REQUEST: Estimated Project Cost $ <br />Describe the request in detail (attach additional sheets if necessary): <br />^>1^ ~T <br />N «>-t . V, rv . A- ^ ‘ ^i]f ^ <y»l V. <br />^ (^\(K ■ ~ fair a7\ert)f ii-lnAtf “ST’ rVAM T o <br />p^n/rPfh <br />41 o r\ >-r>, <br />VT <br />.!