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City of Orono `� � <br /> � Variance Applicatian <br /> • Street Address: Application# L���- °JC.7�� <br /> �0� 2750 Kelley Parkway Date Received: � - ]���•��' <br /> Orono, MN 55356 Amount Paid: ��,00. c>o <br /> � � Staff: /L1G <br /> Main: 952-249-4600 Fee: $600 <br /> � ,���, � fax: 952-249-4616 Renewal: $300 <br /> �'�,t, � Gti Mailing Address: After-the-fact: $1,200 Double Fee <br /> 1.9x.E$xpg,� P.O. Box 66 <br /> � Crystal Bay, MN 55323-0066 <br /> This application form must be completed in full. Applicant will be not�ed within 15 days as to the status of the <br /> app�ication. Incompiete appiications will not be placed on Planning Commission Agendas. <br /> PROPERTY INFORMATION: <br /> Site Address: S �� ��1 ��E til• <br /> Property Identification Number(PIN): - 6 a - z3 - 3 - o00 <br /> (Attach legal description to application if not included on the survey.) <br /> Date Property Acquired (month/year): 9G o 3 ❑ Yes, I own the adjacent parcels. <br /> Present use of property: L�"Residential ❑ Other <br /> Zoning District: ��:-I B <br /> APPLICANT (NFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: �' � i,-� P d w+4 <br /> Phone (home): q Sz 7 - 8 S Phone (work): 22 - g oa <br /> Address: (s�o Gov�l TY R-��n 6 City: �1 G- Zip: 55'3 s6 <br /> Email: . � �oM � � !� Fax: �#�) 2'L - �1 �02� <br /> OWNER INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: �5s � p . D wR-Y <br /> Phone (home}: k -�. _ 7 S`- (q $s" Phone (work): ( 5�1 _ �'6 S� <br /> Address: City: �� �- t,�r�c.� Zip: S'�3�'6 <br /> Email: �� (���{ L-�-b�•N�T Fax: <br /> � DESCRIPTION OF REQUEST: Estimated Project Cost: $ � , g t� <br /> Describe the request in detail (attach additional sheets if necessary): <br /> � '�. �TC'/�c��t�iD <br /> �� `f ld � , �.-� / �.. <br /> � i <br /> y2 s ��,rF! ; .. �: <br /> r °i. <br /> ; ��, <br /> �r� <br /> „_ <br /> .�i <br />