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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~~066 <br />Application # Q lJ-3 05 7 <br />Date Received: "1'/2) <br />Amount Paid: Jl..---:'-hbr-=o-. o-=---:=:o--- <br />Staff : JAN J Gt <br />Fee: $600 ---:-:----------Renew a I: $300 --------A ft er -the-fact: $1,200 Double Fee <br />This application form must be completed in full. Api:·:cant 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 />Site Address: 5k() ''n b T~JC) <br />Property Identification Number (PIN): '27-I\]-23--3 J -0002 <br />(Attach legal description to application if not included on the survey.) <br />Date Property Acquired (month/year): . □ Yes, I own the adjact:;17t parcels. <br />Pre~ent ~se_of prgJ?erty: □ R,esidential AOther VA.f J\7...,,.,r::j_Jp--.,D <br />Zoning District: ":-€PcoNb Vt.co~;,.__;; <br />a:-:-:es and marital status required for each interested party) <br />Name: <br />Phone (home): <br />Address: <br />Email: Fax: --.....L.l!~~...::.....,""""'=~~~-"L:..L....l't-l~~~~ <br />OWNEFµN.c~~MATION: <br />Name: '-zjc:fv.-~..,r <br />ames a:-:d marital status required for each interested party) <br />Phone (home): <br />Address: Qt.rz..t_.J:'73L-.'.~~~~~~~~===::J,,,;:~~~::__ _____ L ________ _ <br />Email: d a tr. i i./4 vb@., et~. b.e::t= <br />" l <br />Fax: <br />DESCRIPTION OF REQUEST: $ ----Descri