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~rbfi 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-'.)066 <br />Application# Ol..\--•<-CJ Ci(_) <br />Date Received: ~ -I \' -C) Lj <br />Amount Paid: ( o(-C1 . 0 o <br />• I ; , .. Staff . ,,~ \.i 1 'i 11 ,, f' <br />Fee: $600 ---------Renew a I: $300 --------After-the-fact: $1,200 Double Fee <br />This application form must be completed in full. Api:;:icant 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: f'i <br />Site Address: Jlf 4l( &, I def rK ed <br />Property Identification Number (PIN): og"-a7-olJ-<-f3 -ooor <br />(Attach legal description to application if not included on the survey.) <br />Date Property Acquired (month/year): q/QJ__ □ Yes, I own the adjacent parcels. <br />Present use of property: tii1I Residential ' □ Other ------------------Zoning District: ~/2. -I C- <br />OWNER INFORMATION: (Complete legal names E:-:d marital status required for each interested party) <br />Name: -h--\,lcK ~ -r, o..v-ene ~--e.. <br />Phone (home): c;sa--Cjl-{x-~~ Phone (work): qsJ.-9,'-fl/-o(b/1 <br />Address: q8s-s:Eenn :H-~ --· 1:3Jen ~ 1'r<'e1 ('v}N ~.Slf 7 <br />Email: V3'+r.'_k e_, 1h11. ('I'. co Ph.. <br />1 <br />Fax: qs-d -Ci'fd----'2) I J <br />DESCRIPTION OF REQUEST: Estimated Project Cost: $ ~t(7,t:Jr:r-b <br />Describe the request in detail (attach additional sheets if necessary):' <br />:]e'¼c r;kwlA-BJ<Lt'S"/1~ ~ ~~ ta~<' ld {I)~ d2-s;.bvy: w/;,qifook¥2 I <br />,<,:-,,,~~_:,,) <br />;d:; <br />,.,.r·•·•""'c"=', <br />'\ <br />~,. .··•··· .;