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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# IJ f'-3L/-I 1 <br />Date Received : ~ It '1 Jo q <br />, I <br />Staff : <br />Fee : $700 ~-------Renew a I: $350 --'----,----,....,.---,---,------,--,-- <br />After -the-fact: $1,400 (double fee) <br />Escrow Fee: <br />$2 ,500 new home/ addition / <br />new structure <br />$ 600 other variance <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 />PROPERTYINFORMATION: a n (J <br />Site Address: /&c35= ~3 _____r::f_ :}\';I> <br />Property Identification Number {PIN): <br />Date Property Acquired (month/year): 1 t/Y □ Yes , I own the adjacent parcels. <br />Zoning District: CK -/73 <br />Name: <br />Phone (tiome): <br />Complete Address: <br />City , State & ZIP <br />Email : r>10t..5Et....e Fax: <br />OWNER INFORMATl~(Complete legal name~ mari_ta~status required for~ach interested party) <br />Name : ci/..$&) r I-"' )¥ Vf ¥-}ey ( r Hc>::s£UV ( .1'1-1 J__ <br />Phone (home): ____________ Phone (work): r ____________ _ <br />Complete Address : ......__JJ__ <br />City ,, State & ZIP =~===/2=1f==1JDC-=~========================================= Email : C2' Fax: <br />DESCRIPTION OF REQUEST: <br />Describe the request in detail (attach additional sheets if necessary): <br />RECEIVED <br />JUN 1 7 2009 <br />CITY OF ORON O <br />Last Updated : 5/11 /2009 #3417