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City of Orono <br />Variance Application_____ <br />StTMf Addnss. <br />2750 Kelley Parkway <br />Ofono. MN 55356 <br />Main 952-249-4600 <br />fax. 952-24g-4616 <br />Mailing Address <br />P.O. Box 66 <br />Crystal Bay. MN 55322-0066 <br />Appt'cation# <br />Date Received~7g(;^^;^ <br />Amount Paid , <br />Staff: iVifU <br />Fee: S600 <br />Renewal 6300 <br />mtlhcL <br />After-the-fact 51,200 Double ree <br />This application form must be completed in full. App .car^t will bo notified within 15 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 A ft lO Q, D <br />Property Identification Number (PIN); ________________ ___________________________________ <br />(Attach legal description to application if not included on the survey.) <br />Date Property Acquired (monlh/yeor): »*-/ □ Yes, I own the adjacent parcels. <br />Present use of property: Sjf Residential □ 0;ner --------------------------------------------------------------------- <br />Zoning District: _______________________ <br />APPLICANT INFORMATION: (Complete legal nares and marital status required for each interested party) <br />Name: (> ^ kjX t:____fV<^c TcV_S. <br />Phone (home): V1* 1 '> <br />Address: ri ic. ^-T r' >a fn n.- _ I '^c fy <br />Email: pr\ <br />Phone (work); 7/.^•^lr} ?^iboi <br />Fax:ii ■ A iC.J <br />OWNER INFORMATION; (Comp'ete legal names s*d mantal slalus required for each interested party) <br />Name:______________________________ <br />Phone (home): _______________________ <br />Address; _____________________________ <br />Email: ______________________________ <br />___Phone (work); <br />Fax: <br />DESCRIPTION OF REQUEST: Estimated Project Cost. $ <br />Describe the request in detail (attach additional sheets^if necessary). <br />^ rV.C t«\>- •« Im, <br />t*rVr^ . ** ij'b <br />A q, Kcuve\jjo). <br />T ix t-\*i c v-*CXUX.\; <br />f o f j! r'- D>