|
City .of Orono
<br />Variance Application
<br />Street Address:
<br />2750 Kelley Parkway
<br />Orono, MN 55356
<br />Application #u.,,,:-3, Z.O S
<br />Date Received: :f lt u /UlP
<br />A
<br />Main: 952-249-4600
<br />fax : 952-249-4616
<br />Mailing Address:
<br />Amount Paid: (,r oO-oo
<br />Sfaff : BL< lu VJ Turrte,r
<br />Fee: · $600 '
<br />P .O. Box 66
<br />Renewal: $300 --'----=------A ft er -the -fact: $1,200 Double Fee
<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: 1 w. oo P->.J\a..c...\-<.-c..\t~ .P ~;, l\l, R.00-&
<br />Property Identification Number (PIN): \ \ -\ ,, -;}..3 ~ 1 -oo d--0
<br />(Attach legal description to application if not included on the survey.) a.+-\-.,__~~
<br />Date Property Acquired (month/year): '<Alf\~owil □ Yes, I own the adjacent parcels.
<br />Present use of property: Ef Residential □ Other ------------------Zoning District:
<br />APPLICANT INFORMATION: (Complete legal names and marital status required for each interested party)
<br />Name: C.ooc.e_r-\-\....o...C\d., ~<;.ci.y·, ",
<br />Phone (home): q s;:i. 41 s>-y \\ ~
<br />Address: ;,\5;, ec,~~-t \-a.Y\,e_ l"\o v (\.D
<br />Phone (work): 9 S.;>-~ 1 cl. -y,, &
<br />s~~<o4
<br />Email: ~ ~""' ,,t\ :;,\o'l.. @ ~J\G'C"\·~~. ~ Fax: gsd::-':\7~-4,\9
<br />'}t,u~~ .. · --:·,.11"· .$1'1 '.""' . ..-·r ·-,
<br />OWNER INFORMATION: (Complete legal names'.ar'lc;f ,(:harital status required for each interested party)
<br />Name: l o Qf\C\ ~ ...... ~~T •.: r:: ... , i;~. 1,;,;.i,i.:,i ,
<br />Phone (home): iii,=, -4§"2,4 Phone (work):
<br />Address: \~co 6n,M-~t:\ ~ eo ;", t<oa..d-,.
<br />Email: """'-"--.M.buN\, Fax: _\.\.M..~'~~~~~=-.,...'----------
<br />DESCRIPTION OF REQUEST: Estimated Project Cost: $ £>000 . oo
<br />Describe the request in detail (attach additional sheets if necessary):
<br />~-c::~.-~i)
<br />l•-..:· .•
<br />~ .. .-) /:\~-_ )l \/~ ... __ _, .( . W ... ::;: ·~\;_,,I
|