Laserfiche WebLink
� �it of Orono <br /> Y <br /> � Variance Application <br /> ; <br /> I Street Address: Application# �-��jQ��� <br /> � ��� 2750 Kelley Parkway Date Received: J Z�f'�%/��i, <br /> Orono, MN 55356 Amount Paid: — <br /> � Staff: jl/�. l�f� <br /> O �P:� Main: 952-249-4600 Fee: 5600 <br /> ' � �`' ? � fax: 952-249-4616 <br /> l� �� ti Renewal: $300 <br /> � � ''�� ti Mailin Address: . <br /> � �� � �. � g After-the-fact:- $1,200 Double Fee <br /> w P.O. Box 66 <br /> i 9k'ESxog' <br /> Crystal Bay, MN 5532�-0066 <br /> I <br /> I <br /> This appiication form must be completed in full. ApF�icant will be notified within 15 days as to the status of the <br /> application. Incomplete applications will not be placed on Planning Commission Agendas. <br /> PROPERTY INFORMATION: <br /> Site Address: �?�7� pQ�� ��j �/� Qy�n�n , (�� ��p� <br /> Property Identification Number (PIN): <br /> (Attach legal description to application if not included on the survey.) <br /> Date Property Acquired (month/year): �0 � Yes, I own the adjacent parcels. <br /> Present use of property: ❑ Residential ❑ O�ner <br /> Zoning District: <br /> APPLICANT INFORMATION: (Complete legal na-as and marital status required for each interested party) <br /> Name: � ���q�LdP,I V1lGlIM.loald ` I�I�cLI�.SGL I� WGi vv�lool� <br /> Phone (home): (acZ)y.t..E-7, .�p���� Phone (work :�Z� �.{.-Zp .�Z�}y. <br /> Address: ��,7� �}l I�q�� —�,�ve [3I Vd . \!I(�rl�r} (�,�rv �S3f�(o <br /> Email: �P��n . U��,�w,I�o�d @ i�n<<n . rnvv� Fax: C�G�Z. ��U- ��i�! IVo G��� <br /> l���i �.� <br /> OWNER INFORMATION: (Complete legal names a�d marital status required for each interested party) <br /> Name: <br /> Phone (home): Phone (work): <br /> Address: <br /> Email: Fax: <br /> DESCRIPTION OF REQUEST: � Estimated Project Cost: $ <br /> Describe the request in detail (attach additional sheets if necessary): <br /> f, �;,a <br /> A� l ;.� <br /> � _ h�:< <br /> r>� ' <br /> [ i <br /> � ,-,�,tr r a!; <br /> �y e.i�� �` ...._.a � _�.Y l�! ��J <br />