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City of Oronl [?.. A <br />Variance Application <br />Street Address: <br />2750 Kelley Parkway <br />Orono, MN 55356 <br />Main: 952-249-4600 <br />fax: 952-249-4616 <br />Mailing Address: . <br />P.O. Box66 <br />Crystal Bay, MN 55322-D066 <br />Application# DL/ ~ W'-/'O <br />Date Received: {H1d 04 <br />Amount Paid: ' __ <br />Staff: t1JI f-::-{;--:tl,-:-r.tt-(.£~---- <br />Fee: $600 -'----,---------Renew a I: $300 <br />~C.....:....C,c-:-:--:-:-=-----After-the-fact: $1,200 Double Fee <br />This application form must be completed in full. Api:;'icant will be notified within 15 days as to the status of the <br />application. Incomplete applications will not be placed on Planning Commission Agendas. <br />PROPERTY INFORMATION· <br />Site Address: 12-Cj O Arbi:7'< ~* 1 \,,\C"-'f ~ 1 M ;-.Ji cs· 5 39 ( <br />Property Identification Number (PIN): ---:-----'------------------ <br />(Attach legal description to application if not included on the survey.) <br />Date Property Acquired (£1:0J)th/year): . 7 /b'-J □ Yes, I own the adjacent parcels. <br />Present use of property: Jq Residential 1D Other <br />Zoning District: 12--1?:1 b ------------------ <br />APPLICANT INFORMATION: (Complete legal nar-:-:es and marital status required for each interested party) <br />Name: Oec1.,Q"J:h0m<.t:S L.lod.b\cul C<AA '"Sh12.,rn Teo-a s-tr-~JO-d·-l..M..,)Qlbk:½4 <br />Phone (home): qc_;l.-1472.-3(:;ab Phone (work): 951--~12·-78'1::4. <br />Address: i2.-ll7 'v{i kih..~~~t ':R-0::1 I I c,('u,'1C) fAN 5e⇒a4 <br />Email: cH: l;Aodbk.u.le '19:::h.:zt;:, ,(.0,1) Fax: <br />OWNER INFORMATION: (Complete legal names c::-,d marital status required for each interested party) <br />Name: Sb,.C-.✓ a.• ~-6,.J.k>;--J <br />Phone (home): cr;,z... -A;7s·-._?41.\-i;; Phone (work): <br />Address: \ i..::L) -Pa .. «.,...,~ SJ:: .. 'w/\,4-z_,.'\--q\ 1;,.... ..-I ~-5'~:li \ <br />E ·1 ' ' F ma1: <\,A'"'" Pv'o::.~.,::::. 0 ,t,k'S:(;i i"""~". ,:o,-.., ax: ____________ _ <br />$ 35.cco <br />J