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, Vity oT vrono tx����T a <br /> Variance Application <br /> Sfreet Address: Application # W �� <br /> Q' Q� 2750 Kelley Parkway Date Received: � q � <br /> y" Orono, MN 55356 Amount Paid: <br /> 0�,,� O Staff: .,j�lUlG�" <br /> ���� Main: 952-249-4600 Fee: 5600 <br /> a ��.` `�� s� fax: 952-249-4616 <br /> � �:� F RenewaL $300 <br /> �',�, � � '�` �ti Mailing Address: . After-the-fact: $1,200 Double Fee <br /> �'�kEsHp�'� P.O. Box 66 <br /> Crystal Bay, MN 5532�-0066 <br /> This application form must be completed in full. ApF�icant will be notified within 15 days as to the status of the <br /> app�ication. Incomplete applications will not be placed on Planning Commission Agendas. <br /> PROPERTY INFORMAT ON:� <br /> Site Address: ,;� � � !� �� <br /> Property ldentification Number (PIN): <br /> (Attach legal description to application if not included on the survey.) <br /> Date Property Acquired (month/year): ❑ Yes, I own the adjacent parcels. <br /> Present use of property: � Residential ❑ Oiner <br /> Zoning District: <br /> APPLICANT FO MATION: (Complete legal n��:as and marital status required for each interested party) <br /> Name: ��' °- '- �i • m�� � � <br /> Phone (home): - -� .� ; ....- � hone (work): Z- `�.7� � '�' ` <br /> Address: �'"- � — ���a � <br /> Em a i I: ..,�._ ax: �--- <br /> OWNER INFORMATION: (Complete legal names a:�d marital status required for each interested pa�ty) <br /> Name: 1 � <br /> Phone (home): � Phone (work): <br /> Address: � �� . ��� /� �,�� <br /> Email: •-- Fax: .— <br /> DESCRIPTION OF REQUEST: � Estimated Project Cost: $ ���=t�- <br /> Desc ibe the request in detail (attach additional sheets if necessary): <br /> �% ' <br /> � <br /> T <br /> r ;� ' ��'Y+ � _ ,� <br /> � � t:i \;� � ` -� • � <br /> �-� ► J�.i'N`..` � � ,r <br /> , � <br /> °, � � % o /l� , /L�'YJ «�' `�� u�'�fl � <br /> :> > 9�11��9��IJ� �9.A�112L6'��� �.. � <br /> ��� , <br /> rl f� �` ;i 4� <br /> . <br /> , <br /> , ; _ <br /> e t • !?� � <br /> ::. _.. . <br /> _ _. ' <br /> .._... ..- _... _.. . . _ . __ . .... -... ¢ ._ � � . ._ • _�. �.__. ._ '. ..._.. ._... .,__ .. <br /> _ .. <br /> I,� LII • •`-'"�-" . _. <br /> -- w.�✓ ....:,� w. �� �;-. <br />