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E:XtSTI~A <br />City of Orono <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. Box 66 <br />Crystal Bay , MN 55323-0066 <br />Application # / / -3 5 ~ D <br />Date Received : 4/20/1 I <br />Staff : <br />Fee : $700 --'---------Renew a I: $350 ---'-------- <br />After-the-fact: $1,400 (double fee) <br />Escrow Fee: <br />$2 ,500 new home/ addition / <br />new structure <br />$ 600 other variance <br />This application form must be completed in full. Applicant 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: /zlAl?tlL-ll -1 JAJI//J/2.,(j U/JA/C€/?,~ ,,/T l ..l7{!;' dAL-t?U,< .PA/f k /c7,l,(J <br />Property Identification Number (PIN): =~ ...... 2_-..,_//,.._7,..__~=-2J;::___-_.?=--'.l ----"o_t7_"_.cs _____________ _ <br />Date Property Acquired (month/year): /o -o 2 □ Yes, I own the adjacent parcels. <br />Zoning District: -LA -1 c ---------- <br />APPLICANT INFORMATION: (Complete legal names and marital status required for each interested party) <br />Name : NA~/1(.,,~ ,t .f",IIA/IJAA W/J./C:£/c!} <br />Phone (home): '7.52-L/ 7 / -/ cJ ,y 9 Phone (work): <br />Complete Address: /.376" o'A<-.t'a;( ,e?,1/k /o.u2 <br />City, State & ZIP dl!o/f./c, ft/IL/ .s-s39 J <br />Email : hr w i '?Jerd@qwelta ffr i.e, C4M Fax: <br />OWNER INFORMATION: (Complete legal names and marital status required for each interested party) <br />Name : ..F-IM€' <br />Phone (home): <br />Complete Address : <br />City, State & ZIP <br />Email: <br />------------ <br />DESCRIPTION OF REQUEST: <br />Phone (work): <br />Fax: <br />Describe the request in detail (attach additional sheets if necessary): <br />7/1€ tf/€/f;)l/,(7/l. T~ 7#€ W€'[r /IAJ" BtoCkr/} 7li,I€ li2/LC 71-i(M ,ICC€Cf' Z:<2 <br />Last Updated : 6/27/2011 <br />RECEIVED <br />JUL 2 0 201'1 <br />CITY OF ORONO #3520