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~ity of Orono <br />Variance Application A <br />Street Address: <br />2750 Kelley Parkway <br />Orono, MN 55356 <br />Application# 0 (.p .~ 3t:, ~ 7 <br />Date Received: · Gt -.;>.O -0(,:? <br />Amount Paid : (_2 C,c).OV <br />staff: E Vz_fy " <br />Main: 952-249-4600 <br />fax : 952-249 -4616 <br />Mailing Address: <br />Fee: $600 ---'---------Renewal: $300 ---'-----,------- <br />After-the-fact: $1,200 Double Fee <br />P.O. Box 66 <br />Crystal Bay, MN 55323-0066 <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 />Site Address: \br-80 ~t\iv~ ~Tk X---~ -OfLO "-.)D, tv,,.,>::-) :SS 5'.°11 <br />Property Identification Number (PIN): n5 _ \\~ ---z..5 _ $3 -C>O::).c\- <br />(Attach legal description to application if not included on the survey.) <br />Date Property Acquired (month/year): cto /q Z: □ Yes, I own the adjacent parcels. <br />Present use of property: .:&-Residential '□ Other ------------------Zoning District: L1;:,, _ \ 'f> <br />APPLICANT INFORMATION: (Complete legal names and marital status required for each interested party) <br />Name: L,rvc::..oL,-j °bt-..."-l~O\L--:t~ I ~h~b~~~~s <br />Phone (home): c,52 . m::z. 2-..:J?l4-: 7 hone (work): l-. 12,, .3'23, '578°, <br />Addr~ss: "'8~ \AA.;U, 'i + ~v'L ')) . 3\4""X;)l\l\,\.\\..)C..~'17>""-' ,· M,., > SS4-:zo <br />Email: L,~e,oLt-.:)e.-'1~R.h.Sc-~Y,<.\~C... ... C-olY'\ Fax: 552 ,:'8:87, 2:-:J°',b <br />OWNER INFORMATION: (Complete legal names and marital status required for each interested party) <br />Name: c t::\\.-O'E... \.-\.LJ ):> "-A.Ci,,A.~ <br />Phone (work): '-> 2 . 2...4 c> 714£ Phone (home): 452,.. 4:Jt. :,4::,3 <br />Address: \4:£,,w 1:-o"'NS l>~-JL'h <br />Email: Fax: ---'-""'~----------------- <br />DESCRIPTION OF REQUEST: Estimated Project Cost: $ 2-:z.D .OCO . ~ <br />. ' Describe the request in detail (attach additional sheets if necessary): <br />c)N. :Rv \r\.li,,,,'--"f: o:f: C...\..\LDL f-.AO&,,P..,~ 1 \.p\3~.h~cA~V<\ ·,1'.)c • -~-A we..,,_ ·~(L <br />75-250 <br />I <br />i f