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r City of Orono <br />Variance Application <br />0cnK>n <br />Street Address <br />2750 Kelley Parlay <br />Orono. 55355 <br />Mam S52-2O-460S <br />fax 952-249-4616 <br />Maihrjg Adc'ess <br />PO Box 65 <br />Crysu; 3ay. MN 5532 •-::55 <br />App.'caticn # iP <br />Date Rece^rec «g> - <br />AfT.ounl PatO <br />Sta*f <br />Fee; <br />r c; <br />S500 <br />Rene^a! S30C <br />S- 2C: Cc^pe Pee <br />Tr-s aoDl'cation form must fce compteted in full Apt .cant will be r.stf.ed witr.tn 15 days as to i-.e status cf re <br />appicaton incomplete applications will not be placed on Planning Commission Agendas. <br />PROPERTY INFORMATION: <br />Sue Address; ^V/ <br />Property Identificaton Number (PIN). <br />(Attach legal desenpt on to app'icat-on tf not me -ced on the sun/ey.) <br />Date Property Acquired (rno^h/ycar) _______□ Yes. I own the adjacent parcels <br />Present use of property: )B Residential <br />Zoning District; P?________ <br />□ Otner <br />APPLICANT INFORMATION: (Complete egal ra-es ard mar tai status regu red *cr eacr nterested cany) <br />Name: /is=7/erxf^i, <br />Phone (homeT! */?.? -./W/ v_____ Phone (work) <br />Address; C* gr- <br />Email; (l- <br />OWNER INFORMATION; (Complete lega' names ft rra-ta. satus requ red for eacn .nterestec party) <br />Name: _____________ <br />Phone (home) <br />Address jfit <br />Email <br />Phone (wo^k)- <br />DESCRIPTION OF REQUEST: Estimated Project Cost $ /8,rc^ <br />Describe the request m detail (attach add.t.onai sr'eets if necessary). __________________________ <br />At'rC <br />t)// fV t*/ <br />#30 23 <br />1>- ■___'•t-T*!