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) <br />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.Q .8m<.66 <br />Crystal Bay, MN 55323-0066 <br />Application # I 1--3507 <br />Date Received : 7 -11 -11- <br />Staff: CW\=·~------ <br />Fee: _$,_7_00 ______ _ <br />Renewal: $350 ~--c------- <br />After-the-fact: $1,400 Double Fee <br />Escrow Fee-: $700/ $2,500 <br />This application form must be completed in full. Applicant 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: f.:) <br />~~~p~~'~':~tificalion Number (P M IS ~ A-1'\J &..~ ~ ~wo ~" <br />Date Property Acquired (month/year): H&'1 Jo~ □ Yes, I own the adjacent parcels. <br />Zoning District: <br />OWNER IN.£QRMATION: (Complete legal names and marital status required for each interested party) <br />Name: /\ j:"Mo1".tf'1' J'.. ~ V t,J..,; <br />Phone (home): l, I 2 q i 1 .. ft , C, 't Phone (work): ___.SE....L.A/l:_1':-1_......,E ______ _ <br />Complete Address: 3010 6 a.oo~ L.A:NCl <br />C ity, State & ZIP W @1\-TA I M ,-.:>. :>S:3~ I <br />Email: ,,.,-.C'l1c ll:5 CD C,1'11\-CL., C.oM Fax: <br />DESCRIPTION OF REQUEST: <br />Describe the request in detail (attach additional sheets if necessary): <br />1-\: A:~j\ c.o \) (;, Q:. <br />Variance Application Updated : January 31, 2012 <br />- <br />1 <br />, 3 56 7 <br />RECE IVED <br />JUL 1 7 2012 <br />CITY OF ORO NO