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For Office Use Only: City Planner: v1ty or urono Variance Pre-Application Meeting Form (This form is to be completed by a City Planner during your pre-application meeting .) Meeting Date/Time: PC Date : ____________ _ 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: l &::Y O A-\2..Bo f' s±: Property Identification Number (PIN): Zoning District: ______ Size of Property: DESCRIPTION OF VARIANCE REQUEST: □ Average Setback □ Side Yard Setback □ Rear Yard Setback □ Lake/Front Yard Setback □ Hardcover Tier 1 □ Hardcover Tier 2 □ Hardcover Tier 3 □ Hardcover Tier 4 □ Lot Coverage □ Lot Area □ Lot Width □ Other: Applicant's 7D PRACTICAL DIFFICULTIES: Owner and/or Applicant has received the Practical Initials: Difficulties Documentation Form, understands it as it has been explained to them , Owner's and is aware that it must be completed and submitted in conjunction with their Initials: Lt-formal variance application. Applicant's ·1 D 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 Lt--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 c· staff. Owner Signature: Variance Application -May 2016 Page3 Date:~U H l :{ ;20\ ~ Date: '42£ / ZJO /(RECEWED JUN 2 7 20 16 # 3845 er=rv OF ORONO