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City of Orono Variance Pre -Application Meeting Form (This form is to be completed by a City Planner during your pre -application meeting.) For Office Use Only City Planner �'V _ Meeting Date/Time PC Date Met with What is the purpose of a pre -application meeting? Pre -application meetings aid the applicant in preparing a complete proposal, inform them of the procedures and requirements of the city code, and identify policies or regulations that create opportunities or problems for the proposal. PROPERTY INFORMATION: Site Address. �4ri PA S aov\. AN SS 39, Property Identification Number (PIN): C)�_�i�- n-4-2 - 001-L Zoning District: Size of Property: 2.s5 ,,uses DESCRIPTION OF VARIANCE REQUEST: ❑ Average Setback ❑ Side Yard Setback ❑ Rear Yard Setback ❑ Lake/Front Yard Setback ❑ Hardcover Tier 1 ❑ Hardcover Tier 2 ❑ Hardcover Tier 3 ❑ Hardcover Tier 4 ❑ Lot Coverage ❑ Lot Area ❑ Lot Width ❑ Other: kayf,(n Y-A Vm iId Fn" A siyio A n-k Ph ki(Ai9o, Applicant's PRACTICAL DIFFICULTIES: Owner and/or Applicant has received the Practical Initials: Difficulties Documentation Form, understands it as it has been explained to them, and is aware that it must be completed and submitted in conjunction with their Owner's Initials: formal variance application. Applicant's Initials: BILLS AND ESCROW: Owner and/or Applicant shall pay for consultant expenses incurred in review of this application and/or additional staff time not c v red in initial application fee, as well as provide an escrow in the amount of $ to Owner's Initials: guarantee payment of the above. OTHER INFORMATION: *Please note: Your variance application will NOT be accepted without a pre -application meeting during which this form will be completed by City staff. Applicant Signature: �" � J' Date: Owner Signature: Date: /S7 SrPi Zol ECEIVED Variance Application— May 2016 SEP 2 1 Z016 Pag v 3872 CITY OF ORONO