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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# Q (o-,3 l, t° ,;:l <br />Date Received: c9-/2 2 / o 0 <br />Amount Paid: lJ!.00 (JD ' <br />Staff : '\'tyJ -<.LM.I..U <br />Fee: _$~6_00 ______ _ <br />Renewal: $250 _.:::__:::c::..::....::...--,---:-,--::,-------- <br />After -the-fact: $1,200 Double Fee <br />This application form must be completed in full. Applicant will be notified within 15 days as to the status of the <br />appl ication. Incomplete applications will not be placed on Planning Commission Agendas. <br />Site Address: [LI~ t a.id i:.J: &--"a ds Kd ... 1 Oro,10, /½(I) S.53 9/ PROPERTY INFORIVIATION: ~ /1 n <br />Property ldentificati b n Number (Pi): 7 7 <br />(Attach legal description to application if .99/i.~ded on the survey.) <br />Date Property Acquired (month/year): -// o □ Yes, I own the adjacent parcels. <br />Present use of property: p( Residential Other ________________ _ <br />Zoning District: <br />Email: ----=j ~c=" ~'"-+-f ~-~/Y}~~/l~,l~{~d=J~.,"~'2~~~f~·l>1~"=''-~ /4.~~l:?'.l~-- <br />.,,-:;>'/ u Nu:, (.,_--,c~ • <br />0 (o l\a Zip: SS3'-'7/ -~~~--- <br />OWNER INFORMATION: (Complete legal names and marital status required for each interested party) <br />Name: ::lef f. /J1 //{!te /'r:,,.,. , (}o f IY1o-,-r ,ed <br />Phone (home): 6,/J '.;:_..,-j -?, ">-JC( Phone (wor~): -~=--1:1=--· ?1'.::'<'--'--'..___ ______ ---:-=c--=c=- <br />Address: . L I/ ~~" ha Jdu r ei:J<-fi ct _ City: 0 ( 0 /\ 0 Zip: .5 5 3 CJ I <br />Email: vc."' ~r:-_,1,dkl·<.dSd-d J..ofrno//-t b m Fax: <br />DESCRIPTION OF REQUEST: Estimated Project Cost: $ ___ _ <br />Describe the request in detail (attach additional sheets if necessary): <br />lea-c J-,w(\ e Yt ~sfJ?J_ 1o/YV /)"''\ br1:Jd N.ld ,'.J 2f~>v 1,,J /Jh.. <br />/P~-~:;) ~) <br />(j) ;;';) \ <br />'