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City of Orono <br />Variance Application <br />Street Address <br />2750 KeHey Parkway <br />Orono MN 55356 <br />Mam 952-249-^603 <br />fax- 952-249-«6 ’6 <br />Mad ng Address <br />PO B ok 66 <br />Crystal Bay. MN 55323- <br />Acp.caticn « <br />Date Reoe.wea ff- i7-0-i <br />AxrcuntPad ^^(Jf•CO’ CO <br />Staff <br />Fee * <br />Re-cwai <br />S600 <br />S3C3 <br />After.tre-*act S1.20C Dcj=!e Fee <br />:o6s <br />Tnis app^icalon form rrust be ccrrpieted in fun. Ap: can w?ti be roti^.ed wthin 15 days as to the stat-s tne <br />aopt cation Incomplete applications will not be placed on Planning Commission Agendas. <br />PROPERTY INFORMATION:. <br />Site Addreis ^ ._________________________________________ <br />Property Identification Number (PIN)-_____________________________________________________ <br />(Attach legal description to application .f not me'^ded on the survey ) <br />Date Property Acquired (month/year); flag HaO □ Yes. I own the adjacent parcels. <br />Present use of property: D^esidentia!^ □ Otner__________________________________________ <br />Zoning District; _____________________ <br />APPLICANT INFORMATION: (Como'ete egai rs-es and r-.an(a status 'ccuired for eacn interested party) <br />Name (YUil^ D fpClcKOm CSeoniA <br />Phene (homeT <br />Address ppr> rvi4i^<n . <br />Email; <br />Phone (work) Pb-cjcC <^15 2 Zo:5 MOSS <br />C * <br />OWNER INFORMATION: (Corroiete legal na.mes c*a na-^i status required for each interested party) <br />nyrJeltut^cJ <br />Phone (home)! <br />Name <br />Address 2 HQ <br />Email <br />_______ Phone (work): ___________________________ <br />Pr\ B qx| , FWi ^5.^93 _ <br />DESCRIPTION OF REQUEST: Estimated Project Cost $ llO.CCCl( <br />Describe the request in detail (attach additional sneets if necessary); <br />AdLirp.'i V4<jii.'^a <br />0^4^ )A|r>une <br />fjpnrt ^ I mtv’Yirl ~tonn^/»nq <br />K O