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EXf+18tT A City of Orono
<br />Variance Application
<br />Street Address:
<br />2 7 50 Kelley Par kwa y
<br />Orono , MN 55 3 56
<br />App licat ion # f)lf ~ 8t7L/-~
<br />Da te Rece i~ed : ~~"7-d Dl/
<br />Amount Pa id : fl, __ ____:__:_ t15
<br />Staff : Jl U,tF-,,lU.-<t'-"-'"-.,-'-------
<br />Fee : S600 Ma in: 952-24 9-4 6 00
<br />fax : 952-249-46 16
<br />Mailing Address:
<br />Renewa l-: ---=$c-::3-::-0-::--0-------
<br />A fter-t h e-f a ct: $1 ,200 Do ubl e F ee
<br />P.O . Bo x 66
<br />Crystal Bay , MN 553 2 '.:-'J0 66
<br />Th is app licat ion form must be completed in full. Ap~ :ca nt w i ll be notified w ithin 15 days as to the status of the
<br />appl ication. Incomplete applications will not be placed on Planning Commission Agendas.
<br />~~e
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<br />::::~:INFo~;~TIONf ~.4 .7 ' t2i ,ic·;_-· /2[,,4b,. {'J:211c•,:)' {~Aj
<br />Property Identification Number (PIN):
<br />(Attach legal description to application if not inc luded on the survey.)
<br />Date Property Acquired (month/year): o :)be·.··· D Yes , I own the adjacent parcels .
<br />Present use of property : kl Residential D O'i.her
<br />Zoning District:
<br />APPLICANT INFORMATION: (Complete legal na :":".eS and marital status requ ired for each interested party)
<br />Name . ·--; / /,' •(/L .'J -r -·c-If 'J• -1, A · ':, u '.·?1/1 ( -/!(U<_-(A:::C:,.J (, !, '"-f
<br />Phone (home). Q,-•· ~ A4 . ,,-·;,·, .. --,,, · ·t _.") .?-~.; / (_ · --":> .Y;;, 2:,
<br />r 1 Address :. (<./ 5.,~-g ,4;,·· J<.\d('t.. /2.c?Ah
<br />Ema il: /}cf ,,n ,d ,,, /;/ .h:u-#1/,~~A:. ~ c/l,..,:f
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<br />Phone (work): 6 12.,. .s,8:G o :iZ0
<br />/l-"J ,A__] .~;. '>-3(7 I
<br />Fax : ·
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<br />OWNER INFORMATION: (Complete lega l names 2~d marital status requ ired for each interested party)
<br />Name : ~Jr){,q t lu:;:,·-lc s lfc/,,q 4!-i..-td) Su~~c:..(,-·! /~.4t£.'<£ K"i_,(,cv l11 ·.1.,9:,:.;:.;g,, IK.:.,;/J;1,,,p/",:l)
<br />Phone (home): c75 2 47G s&· s 3 Phone (work): (_r:,~;_;,:~3~.}~>'C~-,_c:~~-:2.~·r,_." _______ _
<br />Address : /1./;? ~,;-/;.,;. ... ; /(,,;f,:;,,.., 1(.f , ()//VJ(; /i-1/ . ...) :S':. ·1q 1
<br />Ema i l: f.vL .1.,,yLM () Jl,.;,,. ~!.'., k , { .. ,1, ~d Fax:
<br />I l , ,. , -, ,
<br />DESCRIPTION OF REQUEST: Est imated Project Cost:
<br />Describe the request in detail (attach additional sheets if necessary):
<br />("( '} {\ '"" f ) ( +· ' ' "'\" ·-. t./ /; aUf ,1 '!,.;,.:.e. 'f(_.::,·-··C•\.. :J,::::C.......-
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