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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. Box66 <br />Crystal Bay, MN 55323-0066 <br />Application# CTo-3dd--9 <br />Date Received: %-~'.3 -0 (a <br />Amount Paid : _(,:,QC). 01) <br />Staff : ~r~ <br />Fee: $600 ---'-.,-------- <br />Renew a I: $300 --'--------After-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: <br />SiteAddress: 5~ B\& :I'5LAND 1 C>RoNo 1 MN , 553~\ <br />Property Identification Number (PIN): 2. 2. \ \ , 2. 3 ~ , o o o 2... ------~---------------(Attach legal description to application if not included on the survey.) <br />Date Property Acquired (month/year): '7 Jow □ Yes, I own the adjacent parcels. <br />Present use of property : □ Residential J8J Other 'P,Q.v-e. \~d... bougln--fo build ~ c:atfa,e <br />Zoning District: Se~l R~-hoMOJ <br />APPLICANT INFORMATION: (Complete legal names and marital status required for each interested party) <br />Name: 7i"""'c>4h Vir i \ 'Pett. o <br />Phone (home): (CfS'l..) 898-J..J.7'-1-2. Phone (work): Cf .. S% <br />Address: llo'-l.15 Li,,.,c:::~ &1:e.. LA~Ev·u-1.e, MN. So'-1-4 <br />Email : ~i l'f CFC.@ 114 s N • C.OM Fax: ('15 2.) !-/3r,-qo,o urz.,.--?;Oq-5101:, <br />OWNER INFORMATION: (Complete legal names and marital status required for each interested party) f <br />Name: ~e.«i e.' Rc"'e c i=e:k~.\t'Sok <br />Phone (home): ~'l52.) 8'18-'f-7'-12, Phone (work): ('fs2.) 8'fB• S'J(p4i <br />Address: l~'i 5 U1«:.k Ave -LAKaviUe.. ~N • 5~~ <br />Email: f)GlsfrN-Che..nic.' i) n:,llowsh,ofKiwr ,o.j Fax: a,a -3 JI 2... <br />DESCRIPTION OF REQUEST: Estimated Project Cost: $ 2.oo,oc,o- <br />Describe the request in detail (attach additional sheets if necessary): ,.f,So1 ooo . 00