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Clty ’^Orono <br />Variance Application <br />StnetAtJdnu: <br />2750 Kelley Parlovay <br />Orono. MN S53S6 <br />Main 952-249^00 <br />fax: 952-249>4616 <br />Mailing AddrwiM: . <br />P.O. Box 66 <br />Cfyatal Bay. MN SS323-0066 <br />Appllcabon# <br />Date Received: <br />Amount Pa^: dVctf <br />Sttff: JMTcE <br />Fee:S600 <br />Renewal: S300 <br />After-the-fact II .200 Double Fee <br />ThiS application form must be completed in Ml. App'xant will be notified widiin 15 days as to the stais of the <br />appicatksn. Incomplete applications will not be placed on Planning Commission Agendas. <br />PROPERTY INFORMATION: <br />Site Address: IHo KJAr-^U Aftw <br />Property Identification Number (PIN): _______________________________________ <br />(Attach legal description to application if not included on the su rvey.) <br />Date Property Acquired (month/year): □ Yes. I cwn the adjacent parcels. <br />Present use of property: E) Residential □ Otfier *____________________________ <br />Zoning District _____________________ <br />APPLICANT INFORMATION: (Complata legal naraa and marital status required for each interested party) <br />Name: L La-wA. ______________________ <br />Phono (home): rc» t ^ tn Phone (^ork): Q\ <br />Address: 84, <br />Email: <br />ra-ir-tk^ rVNNJ S-TKHl <br />Pax: rou - R A. <br />OWNER INFORMATION: (Comptete legal names sro marital status require for each interested party) <br />Name: als qlU buc . <br />Phone (home): ________________________ <br />Address: ______________________________ <br />Email: <br />Phone (work): <br />DESCRIPTION OF REQUEST: Estimated Project Cost $ <br />Describe the request In detail (attach additonal sheets if necessary): _________________ <br />f-*_VYV *.1 fV <br />li £ -1 i Ifi Mtl. i'Ti