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� tXFil(31T A <br /> - °�'� C i ty o f Q ro n o <br /> � Variance Application . � � � <br /> Street Address: Application# <br /> O�� �`O 2750 Kelley Parkway Date Received: - - . <br /> '�ti�� Orono, MN 55356 Amount Paid: <br /> Staff: <br /> � ��;� Main: 952-249-4600 Fee: 5600 <br /> ;+�.'� � fax: 952-249-4616 Renewal: $3Q0 � <br /> .�, � �ti Mailrng Address: . After-the-fact: $1,200 Double Fee <br /> �'�kESxo�`'� P.O. Bax 6fi <br /> Crystal Bay, MN 5532�a066 <br /> This application form must be completed in fuli. ApF'scant will be notified within 15 days as to the status of the <br /> app►ication. lncomplete a�plications will not be placed on Planning Commission Agendas. <br /> PROPERTY INFORMATION: <br /> Site Address: ,���S ����� ,�p� , �,�a �fl <br /> Property Identification Number (PIN): �p _ //-� _ Z 3 _ ��_ q��a <br /> (Attach legal description to appiication if not included on the survey.) <br /> Date Property Acquired (mon#h/yearj; r oY ❑ Yes, ( own the adjacent parcels. <br /> Present use of propert�: � Residential ❑ Oiner <br /> Zoning District: L�Q -�� , . <br /> APPLICANT 1NFORMATION: (Complete legal na-es and marita[status required for each interested party) <br /> �ame: _��i2//�'� G.a 'm <br /> Phone (horne): � Phone (work): ��� 9-D.30/ <br /> Address:, /�D �lLt✓A*� S�T !n� <br /> Errtail: �qyCo,�/�a��� {//S�. �r Fax: � � -4�7�1- �3o� <br /> � <br /> OWNER INFORMATI�N: (Compiete legal names a-d marital status required for each interested party) <br /> Name: � c � <br /> Phone (home): Phone (work}: _ � 7/� <br /> Address: _�7� /r��.,t/ , D,�o�b <br /> Email: Mi-rcN �to ce� ��NSi con� Fax: � <br /> DESCR1PTfON OF REQUEST: � Estimated Project Cast: $ <br /> Describe the request in dEtaii (attach additional sheets if necessary): <br /> d f�DD ?,'=� STFiu- i� ��2.RC,.E <br /> �G� �C�A'6�C. /1 E7�L��-E 2l�O� .4N Lt>!N DO N�`7-cJ 12�0� To <br /> I��E � 1=-'T TA-L.L.�"'�. N�lcJ I�c 3 i wI J�.�. t c TD l3�" T L '� <br /> ( L—"7ctStrn��' GE7�.inLG rc 7 FT � REL3U(c..t� F}�2�. ��STS <br /> _ � PvSH oclr KITC.�}c.'�! c-JA-(..�. a r-�_� nto � : -- - _ , <br /> - AI�1D GlP�D�hI� 7'0 2E1�lRt N -j-I-1� SAM� , �L�. <br /> _..._ .. <br /> 1 )h1�� (^SC.t S TI t�l G- O t/ �-F/�N C' � <br /> ___... i <br /> � <br /> , <br /> , <br /> � I <br /> : I <br /> . - � <br /> � <br /> � <br /> _ �_�_____r._ � <br />