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CityofOrono e»^,T A <br />Variance Application_______ <br />Street Address <br />2750 Kelley Parkway <br />OroPO. M\ 55356 <br />Man 952-2-i9-^60: <br />fax 952*243^£‘6 <br />Mailing Address <br />P.O Bo* 66 <br />Cry stal Bay. VN 55323-:065 <br />Aopi.ca*. on tf <br />Date Rece.ved M 7J cW~ <br />A*nourt Pajs p /fth <br />Staff liUuVtCt/ <br />Fee . S500 ____ <br />Renewal 330C <br />After-tno-fac: St.200 Douoie Fee <br />This app'icat on form must be comoieted in full App cant will be ret tied wttnn *5 days as to me status of me <br />acpi cat on Incomplete applications will not be placed on Planning Commission Agendas. <br />PROPERTY INFORMATION: . . ,, <br />Site Address > ^ii. <br />Properly Identification Number (PIN). <br />(Attach legal description to application if not inc uded on the survey.) <br />Date Property Acquired (month/year); .. □ Yes. I own tne adjacent par ••’s <br />Present use of property; £1 Residential □ Other ________________________________ <br />Zoning District ________________ <br />APPLICANT INFORMATION: (Cor-.piete legal ns-«s and rra-itai status required for earn interested party) <br />Name - /'/'/•.•/ r-S A fa #*• / <br />Phone (home) O';.sv.:-.Phone (work); c^Pc <br />Address r'v l a_)• s7-r'*/ <br />Email. //./I'*.^.-4 ,Fax —---------.j------------ <br />OWNER INFORMATION: (Complete legal names i‘d rrantai status required for each interested party) <br />Name; 'hf.t, i/i ../r s /A-/*, vi;.- St //. .....u,:' ) <br />Phone (home). «,*•!/ re -S i t.Phone (work): / P:.'f r <br />Address; j., /Tv... a'*. ' / -*>s t. <br />Email; /.,1. ,/t .. •.* .* i . — •*Fax <br />DESCRIPTION OF REQUEST: Est mated Project Cost; <br />Deschbe the requesUn detail (attach additional sheets if necessary); ______________ <br />*0.-* c ►- <br />n.- <br />S -c.. <br />o <br />. w.-. <br />Q > ll^pU d- -l H» <br />Zr*// .Arir/ t t tc' .1 <br />i I /TV*. g Sn. iip'-'i-___________________________ <br />^’04 i