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City of Orono <br />Variance Applicat ion <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 />This application form must be completed in full. Appl 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: <br />Site Address: / y·gs £.IJvJ !fidt;e: ffi 0/ZoA,J{) <br />Property Identificat ion Number ffe'IN): -----------------------(Attach legal description to application if not included on the survey.) <br />Date Property Acquired (month/year): D Yes , I own the adjacent parcels. <br />Present use of property: )@._ Residential D Other ------------------Zoning District: <br />APPLICANT INFORMATION: (Complete legal names and marital status required for each interested party) <br />Name: ::!C?hn Hov!Vf <br />Phone (home): q.:52-t.../7h s:s?.S-3 Phone (work}: · [p/2, 3 8''7 V3Z4,, <br />Address : /l./~S-.fs fz lqdcr<--tai_ , &-ge>/JO -6---S?:,c, J <br />Email: hoJm.Joka e)~a,A#J/,Y1k, rJJ;/-Fax: ____________ _ <br />OWNER INFORMATION: (Complete legal names and marital status required for each interested party) <br />Name: --:Jt.?tn? i-/olvr1 :- <br />1 <br />.Sv<;:,/M} 1~,e1'"b&V <br />Phone (home): 9s 2-'"(7 b s-853 Phone (work): 612-3£ t,, o 3ze,,. <br />Address: L'Lk.S f) rlh ~d¥ t2cf &d.-oND 5S391 <br />Email: /atJ /~1:;,ef jj( ~a-v-'Q6 l rn !L , r?EJ r Fax: ____________ _ <br />DESCRIPTION OF REQUEST: Estimated Project Cost: $ So,000 <br />Describe the request in detail (attach additional sheets if necessary): <br />~ ' ' kw :Jr(:TJ.,J tJ. <f?c,, v //'r'r" v,:r II' 1 d 0 c...c.. 5 ,,q