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� �,o� City of Orono ' ,1�{�L ^� °� Pre-A lication Meetin Form a �., �. � p p J �.� ' f�;��y ti ,�� , 4,�G (This form is to be completed by a City Planner during your pre-appiication meeting.) kESHO For Office Use Only: City Planner. ` Meeting Date/Time: �� PC Date: Whaf is the purpose of a pre-application meeting? Pre-application meetings aid the applicant in preparing a compiete 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: ( Z�S �i C-�C�M S cr� �1'e��' Property Identification Number (PIN): Zoning District: �..� — � p Size of Property: DESCRIPTION OF REQUEST: ? �� ❑ Average Setback ❑ Side Yard Setback� ❑ Rear Yard Setback C�'Lake/Front Yard Setback � Hardcover 0'-75' � Hardcover 75'-250' ❑ Hardcover 250'-500' ❑ Hardcover 500'-1000' ❑ Lot Coverage ❑ Lot Area ❑ Lot Width ❑ Other: Applicant's Initials: HARDSHIP: Applicant and/or Owner has received the Hardship Documentation Form, understands it as it has been explained to them, and is aware that it must be Owner s completed and submitted in conjunction with their formal variance application. Initials: Applicant's BILLS AND ESCROW: Applicant and/or Owner shall pay for consultant expenses Initials: incurred in review of this application and/or additional staff time not covered in Owner's initial application fee, as well as provide an escrow in the amount of Initials: j $ r1� to guarantee payment of the above. OTHER INFORMATION: 1�G �scc-� — hG �v��ir�--. UrZ�.��t✓ � *Please note: Your variance a plication will NOT be accepted without a pre-application meeting during which this form will be c leted b City staff. Applicant Signat e: Date: � � � - � ( Owner Signature: Date: - 9 -