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City of Orono <br />Variance Application <br />Street Address <br />2750 Ker.ey Parkway <br />Ofcno. VN 55355 <br />Man 952-243-46CO <br />fax 952>249-4616 <br />Mad.ng Address <br />P O Bex 66 <br />Crystal 3ay. MN 5532:-:C55 <br />Apc'icaticn # <br />Date Recaiveel /^ipj Qi-l <br />Ameunt Pa d <br />Staff /.* ■/’/ / /'//:- <br />Fee _^C0 _________ <br />RerewalKerewai S3 03 _____________ <br />After-tne-*sct St 233 D:-j; e Fee <br />Th'S apolcaton (orm must be compietea n fj3 Aep ear.t wiii be rot '>€3 w,tr.*r 13 cays as to tre status of ire <br />appication Incomplete applications will not be placed on Planning Commission Agendas. <br />PROPERTY INFORMATION: <br />Site Address: <br />Property Idenljfxatior. Number (PIN): <br />(Attach legal descnpiicn to application if not mcl-dcd on the survey )I wv 9W>*^S«W»» SW ** •■W* OIWWWWW was »• « W J / <br />Date Property Acquired (month/year); □ Yes. I own the adjacent parcels. <br />Present use of property: □ Residential □ Otner ____________________________ <br />Zoning District / C - _________ <br />APPLICANTJNFORMATION: (Complete legal ns-es and manta ’ ^status required fo' each interested party) <br />Name: .. C~ 7L ' StAJOi^_ / <br />Phone (home); <br />Address: <br />Email. <br />Phone (work) <br />Fax- <br />OWNER INFORMATION: (Corrptete legal names e*3 rrartai status reqj.rea for eacn irterestea party) <br />Name <br />Phone (home): <br />Address- ___ <br />Email: <br />Phone (work) <br />DESCRIPTION OF REQUEST: Est.mated Project Cost <br />Describe the request m detail (attach additional sheets if necessary): ~r^ ^ <br />.1.1 <br />S Z'Sl .c" <br />'Sf', <br />L