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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# Ql -3 0 d-3 <br />Date Received : 9 -/ Q----0 7 <br />Amount Paid : J'2~6 . 60 <br />Staff : f'--L;:::e.,,__ <br />Fee: $600 ----'-----~--- <br />Renewal: $300 ----'-~------ <br />A ft er -the -fact: $1,200 Double Fee <br />This application form must be completed in full. Applicant will be notified within 15 days as to the status of the <br />application. Incomplete applications will not be placed on Planning Commission Agendas. <br />PROPERTY INFORMATION: 7:, J /}' <br />Site Address: t;ef/l? 3s._ ~/d/z,:Z <br />Property Identification Number'fFIN): q}-5// 7~3;? 3oltJ3$( <br />(Attach legal description to application if not included on the survey.) <br />Date Property Acquired (month/year): ___ □ Yes , I own the adjacent parcels. <br />Present use of propert,r «Residential □ Other ________________ _ <br />Zoning District: ~ S. . -'----. --. --~. - <br />APPLICANT !~FORMATION: (Cop-J>lete)egal names a f).d marital status requ ired for each interested party) <br />Name: ~rtA. e"?'~r,,S nhh'h, /-e ~ <br />Phone (home): , 1/?9~ <br />Complete Address: <br />Email: · / r ,.,,-,--.£..,,,., o <br />OWNER INFORMATION: arital status required for each interested party) <br />Name: "??dSorJ '/ <br />Phone (home): 4-;;;,,'~_L_~~~~._,,1-~,------;-Phone (work): CJL.~"'=-~:......L_-=--Q--.<L-(..L..'=-"'---- <br />Com?lete Address: d?&f{J -~rc,144~.b.1? d <br />Email: d Cham;:J/4n L& ~ t!or:n Fax: <br />DESCRIPT ION OF REQUEST: Estimated Project Cost: $ jfr~oo D <br />~e ~ii (attach additional sheets if necessary): <br />, <br />( <br />#3323