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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 55323-0066 <br />Application # ul-:3c:> \ \ <br />DateReceived: L\-2...l-o;.,f <br />Amount Paid: lg 00 . G<ro <br />Staff : :::} ccf\ r c.v <br />Fee: $600 ---'-~--::------Renew a I: $300 -----::-------After-the-fact: $1,200 Double Fee <br />This application form must be completed in full. Ap~·icant will be notified within 15 days as to the status of the <br />application. Incomplete applications will not be placed on Planning Commission Agendas. <br />PROPERTY INFORMATION: l' C:-Q <br />Site Address: J0v <br />Property Identification Number (PIN): <br />(Attach legal description to application if ngt included on the survey.) <br />Date Property Acquired (month/year): 0 Joi,/ □ Yes, I own the adjacent parcels. <br />Present use of propert~, n ~~sidential 1 □ biher _________________ _ <br />Zoning District: fl.K.-l ft <br />OWNER INFORMATIQN: (Complete legc)I names a::d mari,tal status required for each interested <br />Name: '' t ,'J a. t " ( ::, f -' /' " /b ' cJ if- <br />Phone (home): _,----=-..........,..,.............__~+-~ "'-ri---Phone ork): -l.4...1..!.1:::..........L.....i-c,____;__.:.....::::...---L. ___ _ <br />Address: <br />Email: ___ .,.,,....._........,.,..........-~---~-F-~"'-"-'-.....___ ............ --=-____._ <br />$ 30, Ooo <br />I