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L <br />n <br />City of Orono <br />Variance Application <br />EXHIBIT A 2, <br />SffMl>ldidrsss <br />2750 Ka«ey Partway <br />Orooo. MN 55356 <br />Main 952-249-4600 <br />(ax 952-249-4616 <br />Mating AMraas: <br />P O Box 66 <br />Crystal Bay. MN 55323-0066 <br />Applicalion • / <br />Data Rftoaivad <br />Amount Paid <br />Staff Ta <br />Faa <br />Rarwwal <br />S600 <br />JL300______________ <br />Anor tbo tacT $1,200 OouMo Foo <br />TIms applicat ioft torm must be oompletod in Ml Appicant «nl be noMtod within 15 days as to the status of the <br />applicalion Incomplete appMcatione wW not be placed on Planning Commieeion Agendas. <br />PROPERTY INFORMATION: <br />Site Address 56U <br />Properly Identification Number (PIN): <br />(Attach legal description to application if not included on the survey.) <br />Dale Properly Acquired (month/year), oi lo4 □ Yes, I own the adjacent parcels. <br />Present use of property, pi Residential u^lher __________________________ <br />Zoning District; L4^\A_____________ <br />APPLICANT INFORMATION: (Compleln lesal names and marital status requlmd lor each interested party) <br />Name; K.tAuir\ aniL. jpi4a.pfl.r»rtpVg> lonorf _________________ <br />Phone (home): _______Phone (work) j T-i_________ <br />Address: f UlC£. ________^__________^ <br />Email; JcjlillJtJt tAr_-ya\iDkL..nt^^__________Pax: ^ CtAiV (LhtJjL) <br />OWNER INFORMATION: (Complelo legal names and mantal status required for each ir.teroslcd pady) <br />Name: Qj\dL ^JyUiC —Ki3-0flLirig.\4>^^ _______________________ <br />Phone (home): ntfli^ - U4i'\»4 > _________Phone (work): - “IWH 'Iri__________ <br />Address: N. raiL(>\c. bff»i€.. 6*33 U ‘ _________ <br />Email _________Fax: nk3jL^ml-HOteLltiUi.OJo€j9ui ) <br />I 46o^booDESCRIPTION OF REQUEST: Estimated Project Cost: <br />Describe the request in detail (attach additional sheets if necessary): _ ___ _ ______ _ <br />rdL V AJft r\ane_f^ in <br />J?ui\A./grt 4his—raj-cg>x)-.60::^^ <br />Qti trS 4-irsi*.*2- <br />ID3€-_2tD_fl?DiL_6tstbACAC-»________ <br />nnak/g» 4-fug. i ^/ta <br />#3051 <br />ii,