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City of Orono ~-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. Box 66 <br />Crystal Bay, MN 55323-0066 <br />Application # () 5 -31 Uo <br />Date Received: '3-;? s {)5 <br />Amount Paid: ( oOO, oc <br />Staff : kA.eJ cu\; 1 e.,.., <br />Fee: $600 -....,.-,::--------Renew a I: $300 --'---'--"-------A ft er -the-fact: $1,200 Double Fee <br />This application form must be completed in full. Api:·:cant 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: /!./20 l3cddur flk. <br />Property Identification Number (PIN): 1() ·;ti ~•-·· •r <br />(Attach legal description to application if not included on the survey.) <br />Date Property Acquired (month/year): b/qg □ Yes, I own the adjacent parcels. <br />Present use of property: Dt Residential ' □ Other -------------------Zoning District: <br />APPLICANT INFORMATION: (Complete legal na:-:-:es and marital status required for each interested party) <br />N . // r • -,<· ,-_-? / Ji / ;\ A // ame. ( !Mal/ 1 1:;;,rcu( .i,;,c. /j0J-r'r!-t'i 1 <br />Phone (home): 7 95? '-/ 71-fr''f}f'S-Phone (work): <br />Address: /yJ2.0 /".,, c(;,.c l) -~:: A-:\1 lvtr ,./ ? c{ ·/"" .~/ <br />Email: Cs:1-r1cdon:;;;;) erol-ccu~ Fax: <br />OWNER INFORMATIOfj: (Complete legal names a::d marital status required for each interested party) <br />Name: :()a~ <br />Phone (home): ___________ Phone (work): <br />Address: <br />Email: ___________________ Fax: <br />DESCRIPTION OF REQUEST: Estimated Project Cost: $ S,ooo ->1. oe:r <br />Describe the request in detail (attach additional sheets if necessary): <br />-1/1 4 c) .h7 (£;. ,, See. a 1c.i1 .