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<br /> � City of Orono �
<br /> � Variance Application
<br /> Street Address: Application # ����' ��! �;i'
<br /> 2750 Kelley Parkway Date Received: J��/i�Lf (,'L-/
<br /> "g"��T' Orono, MN 55356 Amount Paid3 , "' �,� ?;
<br /> � �� � Staff: f���,(� lZ��t.f�
<br /> ���� Main: 952-249-4600 Fee; 5600
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<br /> ,� �� ,;��?� a,� fax: 952-249-4616 Renewal: $300
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<br /> `�,� � f� 'i�\ �ti�' Mailing Address: . After-the-fact: $1,200 Double Fee
<br /> L'��ESHO�`'� P.O. Box 66
<br /> Crystal Bay, MN 5532r-0066
<br /> This application form must be completed in full, ApF'.icant will be notified within 15 days as ko the status of the
<br /> application. Incomplete applications will not be placed on Planning Commission Agendas.
<br /> PROPERTY iNFORMATION:
<br /> Site Address: �;(o� 1 PI�.eL �.cld�t � ���d f`�l 1 ���3`� �
<br /> Property Identification Number (PIN�' ): �—T'�—
<br /> (Attach legal description to application if not included on the survey.)
<br /> Date P�operty Acquired (month/year): �1 f�?y5 ❑ Yes, I own the adjacent parcels.
<br /> P r e s e n t u s e o f p r o p e r t y: � R e s i de n tial ❑ O�her
<br /> Zoning District:
<br /> APPLICANT INFORMATION: (Complete legal na,:.es and marital status required for each in;erested party)
<br /> Name: ('-��rc� � ��.a.�'i���e.� �-I���b�r��� � (,�>i Fe _
<br /> Phone (home): - � �' Phone (work). (r,`,'� �-(o�(�- �;7[,� x ,��:3 � .�.�
<br /> Address: `� (�v v a� � !`�I I�I 5� 3`7 I
<br /> EmaiL• ,� � - �� Fax: �`j;►-�I 1. 1 -��0�r`;
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<br /> OWNER INFORMATION: (Complete legal names a:�d marital status required for each interested party)
<br /> Name: L`��('� L �.l�/'i � ' u` b� . � (��. .
<br /> Phone (home): - Phone (work): (�,51 -C��I S-� `��-7� x��c�3 � J�
<br /> Address: d � N � �
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<br /> EmaiL• �� � '� C- �� , C�o Fax: '�'��-�I� I- �n �C�
<br /> DESCRIPTION OF REQUEST: � Estimated Project Cost: $ � � ��> >
<br /> Describe the request in detail (attach additional sheets if necessary): �
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