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-City of Orono <br />Variance Application <br />Street Address: <br />2750 Kelley Parkway <br />Orono , MN 55356 <br />Application # /)'f -o/)Lf 2, <br />Date Recei~ed,i!· 7A oq <br />Amount Paid : ____.:. vb <br />Staff : Jltbt--~---- <br />Fee: S600 Main : 952-249-4600 <br />fax : 952-249-4616 <br />Mailing Address: <br />---------Renewal : $300 --------A ft er -the-fact: $1 ,200 Doub le Fee <br />P.O. Box 66 <br />Crystal Bay, MN 5532~-D066 <br />This application form must be completed in full. Ap(:c ant will be notified within 15 days as to the status of the <br />application. Incomplete applications will not be placed on Planning Commission Agendas. <br />PROPERTY INFORMATION: ,1 1 /2 , <br />Site Address : /if£ Btt,~ td:¥ ~D/ 6)~JJo ,, M ,J S-S!:»'i I <br />Property Identification Number (PIN): <br />(Attach legal description to application if not in clu ded on the survey.) <br />Date Property Acquired (month/year): o?>/~.-.:> D Yes, I own the adjacent parcels. <br />Present use of property: ~ Residential D O th er ------------------Zoning District: <br />APPLICANT INFORMATION: (Complete legal na:-:-:es and marital status required for each interested party) <br />Name : ':Jolz!'l c'. t/A-f?LE5 1-/0LM <br />Phone (home): rsz 4 J{, S .fS3 <br />Addr~ss : (f >?5 £&(' !2cd54 /q?A-b ,, <br />Email : /,cLn1 rob,, t? ,n,trf/rh •1K . v?d <br />.J <br />Phone (work): 6 rz. -gg(z o 3'Z '=7 <br />o~o /11AJ SS311 <br />Fax: <br />OWNER INFORMATION: (Complete legal names a:-:d marital status requ ired for each interested party) <br />Name: ';J oh ~ twr ,./'~s llolwr tE«cf SvS4.t,,( A A?VE &,e 6e.r L fY'Aµ.leP /.f0/)b()/'-1 J._) <br />Phone (home): r sz 47(., S f s 3 Phone (work):' ¥',-'---',2..=---=E'"""S""""4'--_o ...... ~=-2...,:;(p_-_____ _ <br />Address : 1'-/fr5-t,.4y !?,ti'$ t(d .. 0 /!Mo mA.J SS3q , <br />Email : ltoll,(,(j«?YV! {; u r-"'41 <<-1. C,, et Fax : __ --___________ _ <br />11 ' c..:.,, D8::k.... <br />DESCRIPTION OF REQUEST: Estimated Project Cost: $ s ~ro'l c;.~ <br />Describe the request in detail (attach additional sheets if necessary): CD fk. pt s. u.-Q.o.-t-k •\. \)a c..~ <br />·10 /.-frmc <br />3