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City of Orono <br />Variance Application <br />Sfreef Address <br />2750 Kelley Pathway <br />Orono. MN S5356 <br />Mam 952-249-4600 <br />fax 952-249-4616 <br />Mading Address <br />PO Box 66 <br />Crystal Bay. MN 55323-:066 <br />App! cat on # ~ ^^07 <br />Hate Received ______ <br />•.rro'.'nt Paid <br />Staff <br />Fee <br />Renewal <br />vT <br />S600 <br />■$300 <br />After Ihe-fMt SI.200 Doub e f ee <br />This application form must be completed m fuP App cant will be notified within 15 days as to the status of the <br />appucaiion Incomploto applications will not bo placed on Planning Commission Agendas. <br />PROPERTY INFORMATION: , <br />Site Address t^^N <br />Property Identification Number (PIN): <br />(Attach legal description to application if not included on the syryey.) <br />Date Property Acquired (month/year):________□ Yes, I own the adjacent parcels <br />Present use of property: Residential □ Oiner <br />Zoning District: ________________________ <br />APPLICANT INFORMATION: (Comofete legal ns.-es qrd mantal status required for each interested party) <br />Name: ^M f t»^c^_ <br />Phono (home)! ‘jSt ■{ _____________ Phone (work): (r\'L 5v <br />Address Ti2^c* Kray<g.Yit»*T; iffO <T\A»«Ano*jrN ivw <br />Email: ^(< t> «<^i-Fax:*,s/-«is*f <Uro'^ <br />OWNER INFORMATION: (Complete legal names c'd mantal status required for each interested party) <br />Name: (t«.>u ___________________________________________________ <br />Phone (home); •^o\- v.tr^V Phone (work): <br />Address -pr-.foT- Trr> <br />Email _________________Fax; <br />DESCRIPTION OF REQUEST: Estimated Project Cost <br />Describe the request in detail (attach additional sheets if necessary) <br />*TO .CT3 *TC ^ ^ <br />V"T\\V- -At:?C3>~no3 \»aC»w>.'T‘s A»>.u'c As Tc’Cm'^P*»»~T, cf <br />A^yxv\w P-u-iy-;CfM <~..rbF ^Frr«’.«~r /iP.> n. <br />______Ttf\>/g. h Tc-«;-rX»-**j"r cF taA sc>FT Tt? THC s^Ay <br />#3061