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city of Orono ^ <br />Variance Application <br />Street Addrtss <br />2750 Kei!ey Parkway <br />Orono. MN 55356 <br />Main. 952-249-46C0 <br />fax: 952-249-4616 <br />Mailing Address <br />P.O. Box 66 <br />Crystal Bay. MN 55323-:C€6 <br />^^ Appircaton 0 0^^ <br />fg, I -V . Date RecalveC <br />Amount Pa-d <br />Staff: <br />Fee S500 <br />-^Renewal: S3CC <br />After-the-fact: St 200 Pout; e Fee <br />Tms application form must be completed in f^ii Ap; cant w:il be notified withm 15 days as to the status of the <br />app cation. Incomplete applications will not be placed on Planning Commission Agendas. <br />PROPERTY INFORMATION: <br />Site Address: <br />Property Identification Number (PIN): <br />(Attach legal description to application if not included on the survey.) <br />Date Property Acquired (rr^th/year): \L[C\ | □ Yes. I own the adjacent parcels. <br />Present use of propertyj a[Re^ential ‘ □ Ouner _________________________ <br />Zoning District: <br />APPLICANT INFORMATION: (Complete legal na.~es and mantal status required for each interested party) <br />Name: I'' _______ _________ir - r: •. <T^( ■ <v - / . - <br />Phone (home); •; <br />Address; *.- <br />Email; <br />Phone (work);? 7 <br />r n . <br />OWNER INFORMATION: (Complete legal names 8”d marital status required fo."each interested party) <br />Name; P-- . I-. _______t ' ■ -i o jgu <' <br />Phone (home): ■) y. ^ -A <br />Address: o r A J <br />Email: <br />Phone (work): ___j_____________ <br />f r J. • * ' <br />If T <br />Fax: <br />DESCRIPTION OF REQUEST: Estimated Project Cost: $ 7 r<-u <br />Describe the request in detail (attach additional sheets if necessary): _______________________ <br />ck QQ^iwc^ ________i ^ ti t.Ar fc^ .•'f <br />Sj^Q Iv 1C., ll f111 ‘ t Li «-l e'^ A YU n Jc^K f c 5 <br />y. 1^^ vYftCf y-r <br />#3022