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City of Oront. <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 # 0 L\-2 9 Cf 0 <br />Date Received: .:J. -f k -O L/ <br />Amount Paid: / o(Y) . o o <br />Staff : ,kL l q;,1,1,,. '::-:e <br />Fee: $600 ---'--..,,...,.....,~-----Renew a I: $300 --------After-the-fact: $1,200 Double Fee <br />This application form must be completed in full. • Api:;:i 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: p <br />Site Address: /l/4l/ ;& ldw'K ec1 <br />Property Identification Number (PIN): o~-tr7-~J-'13 -C>Oc>o/ · <br />(Attach legal description to application if n;~uded on the survey.) <br />Date Property Acquired (month/year): q □ Yes, I own the adjacent parcels. <br />Present use of property: Iii Residential D Other <br />Zoning District: 0/2. -I c... ----------------- <br />APPLICANT INFORMATION: (Complete le al na:-:-:es and marital status required for each interested party) <br />Name: tv f Lt>f','C\ r.e ~ n ·eJ . <br />work): q s -;). -9 Y <-f-O"' I I <br />i'r-c'e.., N S~54 <br />OWNER INFORMATION: (Complete legal names a:.d marital status required for each interested party) <br />Name: +r-1.-lcK ~ rt °"vevie :'€- <br />Phone (home): qsd -9L-fx-Pr~ Phone (work): qsJ.-9-,'-flf-orb /I <br />Address: q8s-s :fe nn H-~ t s den ~,'r,'e , {YI N :SS-.Slf 7 <br />Email: p +c,:x: e.., /h/J . r-r. co 1"1--\ ' Fax: q_y-c9--Ci.CfJ.. ---"2 )1 J <br />DESCRIPTION OF REQUEST: Estimated Project Cost: $ ;Jl(J,do-b <br />Describe the request in detail (attach additional sheets if necessary):' <br />°Je¾: ci,wv-. e x;t.rfi ~ ~ G:t~ l1~c· lei f)~ d). Sibtf w /2-/A c-6&2 I <br />' ,! <br />m .·-~~ <br />.. J,.., <br />i