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Vooviance Pre -Application (This form is to be completed by a City Planner during your pre -application meeting,) For Office Use Only City Planner L:EKI�, 1W-64411 Meeting Daten—ime• Ic -z-\,p PC Date. 4ffi �Q .=fD Met with, b Al 44C Ce^ What is the purpose of a pre4ppl/ca don meeting? Pre -application meetings aid the applicant in preparing a cornpieft 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: 7: iV5 LiV.- Property identification Number (PIN): Zoning District: G ¢ - % C- Size of Property: SCRIPTION OF VARIANCE REQUEST; 'FAverage Setback 0 Side Yard Setback © Rear Yard Setback ❑ Lake/Front Yard Setback * Hardcover 17 Lot Coverage Ll Lot Area ❑ Lot Width ® Other: A--VERA� , "4C4K- V Applicant's Initials: PRACTICAL DIFFICULTIES: Owner and/or Applicant has received the Practical Dftultret DocummUtion Fcmn, understands it as it has been explained to them, and is Property operty Owner's v� aware that it must be completed and submitted in conjunction with their formal variance Initials: application. Applicant's Initials: BIL1 S AND ESCROW: Owner and/or Applicant shall pay for consultant expenses incurred in review of this application and/or additional staff time not covered in initial application fee, Property Owner's as well as provide an escrow in the amount of $� - to guarantee payment of the Initials: above. n1run-Q 1mICA0�8�T.As.. W 1n.-vry IP%I!vr%. S_ (� E,i1N�lr�4 �—kAW4% ow$Amw pfflwN fSK D#fn_ v_ t3?n�ts grr.. w0.1c.ov. 'if . �tA1�A>�4+. llftlrl.Mtr.1, 'Please mote: Your variance application will NOT be accepted without a pre -application meeting during which this form will be completed ity s Applicant Signature: 1 ?A A'j Owner Signature:_.._ . > oJ,Date: I I / Z y l7 VArA" AopBeWW - Janusfy 2017 ,low 3 # 39�t RECEIVED DEC 01 LU] i CITY OF ORONO