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Village of Orono For Official Use Only <br />Application for Variance iName <br />from Wetlands Ordinance Kase No. <br />Directions to Applicant: <br />a. Prepare four copies of this form by typing or printi:ig <br />in ink. If the spaces provided are insufficient, use <br />additional sheets, keying information to the proper item <br />number. <br />b. Attach all supplementary material by paper clip. <br />c. File four copies with Village Clerk. <br />%� ✓�t 6f 2 .,l � MSI _. <br />v—, ame of owner: ;:,ast; First Midd e <br />37ou 13Aysioe e4Ao 073-Mlr9 <br />2. Address—R- Owner: Phone <br />SAn'+e <br />3. Street address of properly involved or, if none exists, <br />description of location. <br />�rOASS(J14OIv,s-'cOl No ..70 3 <br />a. description of property in <br />6SEE A Tretcmeo s u a vey) <br />