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ib of Orono Varian Pre. -Application ewting Fora (This form is to be completed by a City Planner during your pre -application meeting.) For Office Use Ortiv: City Planner: PC Date W�...�.�...�...._....... Meebng Date/Time. Met with: What is the purpose of a pre -application meeting? Pre -application meetings aid the applicant in preparing a complete proposal, inform them of the procedures and requirements of the city code, and identify policies or regulations that create opportunities or problems for the proposal. PROPERTY INFORMAT10 4: A Site Address: D jc� Q� Property Identification Nu : ber PIN z z I- Zoning District: Size of Property: Z , -,ram- -_- DESCRIPTION OF VARIANCE REQUEST: ❑ Average Setback ❑ Side Yard Setback ❑-Rear Yard Setback ❑ Lake/Front Yard Setback CI Hardcover ❑ Lot Coveraq Lot Area Lot Width $� Other: ��`; r_ ��f �1?.!�!��-.❑ �.�.... ❑ Applicant's I Initials: PRACTICAL DIFFICULTIES: Owner and/or Applicant has received the Practical —. Difficulties Documentation Form, understands It as it has been explained to them, and is, Property ware that it must be completed and submitted in conjunction with their formal variance Owner's p i Initials: a pi !cation. Applicant's ' BILLS AND ESCROW: Owner and/or Applicant shall pay for consultant expenses incurred i Initials. _ in review of this application and/or additional staff time not covered in initial application fee, Property or as well as provide an escrow in the amount of $� to guarantee payment of the Owner's iwvve. I Initials: OTHER INFORMATION: *Please note: Your varian pplica • n will NOT be a . epted without a pre -application meeting during which this form will be completed by City s Applicant Signatu Date: •Zfi1.1 f Owner Signatu I A Date: RECEIVED Variance Applice6on — January 2017 Page 3 S EP 2 0 L U f f 3980 CI OF ORONO F =-