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• City of Orono 0 C <br /> Variance Application <br /> Street Address: Application # 01 ,-.'/35 <br /> •Y,O,4i 2750 Kelley Parkway Date Received: ll(�r(2 o <br /> Orono, MN 55356 Amount Paid; <br /> ,N 0 \ Staff: ' !/,jr1. i 3 <br /> °� Main: 952-249-4600 Fee: $600 <br /> A ' i '. D• fax: 952-249-4616 Renewal: $300 <br /> I�, i G~ Mailing Address: After-the-fact: $1,200 Double Fee <br /> lkESHog4 P.O. Box 66 <br /> Crystal Bay, MN 55323 O066 <br /> This application form must be completed in full. Appcant 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: 3 to' NO Oh S HtDRE Okrve <br /> Property Identification Number (PIN): <br /> (Attach legal description to application if not included on the survey.) <br /> Date Property Acquired (month/year): do--pp 0 Yes, I own the adjacent parcels. <br /> Present use of property: JEI Residential 0 Other <br /> Zoning District: L, YZ I B <br /> APPLICANT INFORMATION: (Complete legal na7es and marital status required for each interested party) <br /> Name: AL L E✓ii .z4r44), b <br /> Phone (home): 93-2_ - y 7/ 1 2 9 Z Phone (work): 6/2 Sim /3 0 3 <br /> Address: 3 / 4,c /1/d�°7A/ s/7/4 2F' Die td4Ay ,z,e41 774 5 c 3 9/ <br /> Email: Fax: <br /> OWNER INFORMATION: (Complete legal names a:-d marital status required for each interested party) <br /> Name: Al L tti _v)4/. .,/, s B.;r1 ,QLc-.4ti,1,.0 zlJyti4.sdo.1.) /2-,40 e21E-J) <br /> Phone (home): / Phone work <br /> ( ) 9s? v7 t2g2 (work): 4, i ,2 Sim 1 .30 3 <br /> Address: 3/ 6 s .i.J.ea re ry i NO/Pt= ; h -.rLY� z•1779 /A14/ .cam 3 57 <br /> Email: Fax: <br /> DESCRIPTION OF REQUEST: Estimated Project Cost: $ `ADO, <br /> Describe the request in detail (attach additional sheets if necessary): TO USE" ,Ejt tsT7il/G <br /> <Ti2 u c.T.v.eE 1 o c 4-7-i,•51, T© .0 u/c-p A AZ6-41 /? .4.1....n <br /> (Die R 1E", 7— i '/-/F'11= -v3- ,o1Q.4 t.itl.4 F- ' c 4 -1 c . <br /> • <br /> „4,„. <br />