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City of 0 <br />Pre-Application I <br />~o1 ~(t_--~~v l1tc-ftn <br />I'<\~~ i)c)I M.JMt~ <br />G_x-~<:, (>[€£ ~ h._Dl'0-. <br />o(\ ,(~/1 ·1s {This form is to be completed by a City Planne <br />For Office Use Only: <br />City Planner: Meeting Date/Ti <br />PC Date: ____________ _ <br />What is the purpose of a pre-application meeting? <br />Pre-application meetings aid the applicant in preparing a ct-... r--·-·-,.... -.-__ -··, <br />procedures and requirements of the city code, and identify policies or regulations that create opportunities <br />or problems for the proposal. <br />PROPERTY INFORMATION: <br />Site Address: <br />Property Identification Number (PIN): <br />Zoning District: ______ Size of Property: <br />DESCRIPTION OF REQUEST: <br />□ Average Setback □ Side Yard Setback □ Rear Yard Setback □ Lake/Front Yard Setback <br />□ Hardcover (Tier_) □ Lot Coverage □ Lot Area □ Lot Width <br />□ Other: <br />Applicant's PRACTICAL DIFFICULTIES: Owner and/or Applicant has received the Practical <br />Initials: Difficulties Documentation Form , understands it as it has been explained to them , <br />Owner's and is aware that it must be completed and submitted in conjunction with their <br />Initials : formal variance application. <br />Applicant's BILLS AND ESCROW: Owner and/or Applicant shall pay for consultant expenses <br />Initials: incurred in review of this application and/or additional staff time not covered in <br />Owner's initial application fee , as well as provide an escrow in the amount of <br />Initials : $ to guarantee payment of the above. <br />OTHER INFORMATION: <br />*Please note: Your variance application will NOT be accepted without a pre-application meeting during <br />which this form will be co leted by Cit staff. <br />Applicant Signatur <br />Pa cket Last Updated: 03/01 /13 <br />Page 11 of33 <br />Date: -1.....__VIJ_/l_o _ <br />·1/1d/r6• Date: <br />RECEIVED <br />JUL 16 2013 <br />CITY OF ORONO #361 9