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For g: i Use Oral . City Plarmer PC Dater City of Orono Variance Pre -Application Meeting Form (This form is to be completed by a City Planner during your pre -application meeting.) 2-0 Meeting Date/Time: . ; Met with: What is the purpose of a pre -application meeting? Pre -application meetings aid the applicant in preparing a complete proposal, inform them of the procedures and requirements of the city code, and identify policies or regulations that create opportunities or problems for the proposal. PROPERTY INFORMATION: Site'Address: IZA 0 AVk-vD/ 64- Property Identification Number (PIN): Zoning District: 1 Size of Property: DESCRIPTION OF VARIANCE REQUEST: �S�o(� = yam}-- ❑ Average Setback ide Yard Setback f�xir Yard Setback �<68AWFront Yard Setback ❑ Hardcover Tier 1 ❑ Hardcover Tier 2 ❑ Hardcover Tier 3 ❑ Hardcover Tier 4 ❑ Lot Coverage Lot Area 'Lot Width ❑ Other: Applicant's Initials: PRACTICAL DIFFICULTIES: Owner and/or Applicant has received the Practical Difficulties Documentation Form, understands it as it has been explained to them, and is aware that it must be completed and submitted in conjunction with their Owner's Initials: V formal variance application. Applicant's BILLS AND ESCROW: Owner and/or Applicant shall pay for consultant expenses Initials: incurred in review of this application and/or additional staff time not covered in initial Owner's application fee, as well as provide an escrow in the amount of $ — to Initials: guarantee payment of the above. OTHER INFORMATION: *Please note: Your variance application will NOT be accepted without a pre -application meeting during which this form will be completed by City { ]]�] Applicant Signature: Date: LL Owner Signature: Date: ECEIVED Variance Application — May 2016 page JUN 2 9 7niii 3845 CITY OF ORONO