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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 55322--D066 <br />Application # <br />Date Received : <br />Staff : <br />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: ,--D 17 1J <br />Site Address: IJL./u S Ml( 'Did£ (L-CI~ <br />Property Identification Number (PIN): <br />(Attach legal description to application if not included on the survey.) <br />Date Property Acquired (month/year): S--0':J □ Yes, I own the adjacent parcels. <br />Present use of property: C:¥'Residential □ Other _________________ _ <br />Zoning District: <br />S i u..i{J._ A).k~n <br />APPLICANT INFORMATION: (Complete legal na;-:-:,2s and marital status required for each int~reste~ party) <br />Name : [lc,b-ev-P-Go-,Jsv"" tl/§l-Z,0/-/ Z, I U-1/ <br />Phone(home): qy4]}-l/]2Cf ~hone(work): ((!la-?--7a-Crl&D <br />Address: 4(/~ · 1]. s ,v& flCfad O vvv,,,o IVI. /II ~~.) -q <br />Email: vvk vt-BJ /IYJ In fU.Plf)-p{ housqi",. CnYI Fax: '-f ;). l.f 7 3 (J <br />OWNER INFORMATION: (Complete legal names 2 :;d marital status required for each interested party) <br />Name : S c;tlk'-f_ <br />Phone (home): ___________ Phone (work): <br />Address : <br />Email : Fax: ------------------- <br />DESCRIPTION OF REQUEST: Estimated Project Cost: $ L/c;; t?PtJ <br />Describe the request in detail (attach additional sheets if necessary): / r . I ,......:-___J£Jl..!.L.]~~~_.;::L.+a:...LJ&:.""---- <br />~jr 0 <br />1 ~~ ?e/ry <br />Co-z:-c. T~ ,t1-C?. 7--;;;l. <br />. &;/ d;?" <;?s-o -o .2. 7 <;?