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A City of Orongr, ^•Oft. O <br />Variance Appli^ipTb 1 Q ^a»<f <br />0 <br />StTMf Atidnss. <br />2750 Ke.ley Pirkway <br />Orono, MN SS3S6 <br />Asplicatlon# 0*-\ ~30^S* <br />Date Received. <br />Main g52-24«-4603 <br />fax 952-249-4613 <br />Mailing Addraas <br />P.O. Box 66 <br />Crystal Bay. MN 55322-:066 <br />Amouftt Paid. ^ t cC'j C'j cJQ <br />Staff; <br />Fee:S6Q0 <br />Renewal: S303 <br />Afte'-the-fact. Si.230 Do.sie Fee <br />Tt*is application form must be completed in full. Ap; cant will bo notified within IS days as to the status of the <br />application. Incomplete applications will not be placed on Planning Commission Agendas. <br />PROPERTY INFORMATiON: <br />Site Address: c/ ps" <br />Property Identification Number (PIN); <br />rt/7 <br />- n ■ 23 - W -c'r c <br />(Attach legal description to application if not included on the survey.) <br />Date Property Acquired (month/year): t2/Hn □ Yes. I own the adjacent parcels. <br />Present use of property: IS Residential □ Other __________________________________ <br />Zoning District; / Q_____________ <br />I. <br />APPLICANT INFORMATION: (Complete legal na~es and mantal status reauired for *.>ach interested party) <br />Name:E ^ -iM.y <br />Phone (home); tc/c:i) nt r:\ tctyu.Phone (work); <br />Address:2.C/ ti/ 4t/.i u'x .1 Ll-l..;. /*•. /J7/t /-^S"/V <br />Email:U't\r-. mt Onrrtth ^ »nr 0i c^»n ' Fax; <br />OWNER INFORMATION: (Comolete legal names S'd mental status required for each interested party) <br />Namei \ t\ ,0^ 0* * \ 1 I' .«i /. . 1 h <br />Phone (home):Phone (work); <br />Address: <br />Email;Fax: <br />DESCRIPTION OF REQUEST: Estimated Project Cost <br />Describe the request in detail (attach additional shents if necessary): T/ie irT <br />ely> .1 Th t p <br />Tc <br />%2rococ <br />fv. .'-^o h <br />A ^ai* rf A t-4^ - W ^A VQ Cc'TTi^ <br />y 9 f 7*>i# ^e <br />f./rt.tfA y 1^ frt /eemi0 a ft, r <br />it irffy.f/ti y ... j <br />r( m r. <br />fit? tfant" A <br />.S "tAmi Ai.tr. t ' 1 nte t tha <br />na_^2iii.iZZ—itc—jflici.fl—fc<d«.Z!^L^jL_££iia£.^ <br />c •/^ Ct’/A/igA- ^ «>i f'eia - <br />,\i <br />( • /ft a f <br />mC A ±t_ <br />v/fl. <br />>.V>» nSt <br />^ ^^ i€ ^ A^ruK.iMit0 r .f fe*i.Aa»y <br />±a.2Q fedt ff/iTi y..Luut^rJLUsuja^ <br />hetrtm ,r et'.jy aittJ .; f ru^i <br />---------- f yAia c.^. ■ ' ' " " <br />is. <br />■C, <br />JC SaAi’ r/J.. r^iA^fU ... nTU»m. r. * >t • < <br />4m.x^rtc^r ef tha <uX.^^h-a-ac^ StAxraA CM-X-A:r amA <br />i.. <br />X3%iX. iS- J:^^r^pCAte^-fh <br />.’A aAunMJT.jC fXir-X-AUm <br />_l