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<br /> Gity of �rono
<br /> � Variance Application
<br /> Street Address: Application# � ��j
<br /> Q` O� 2750 Kelley Parkway Date Received: f 0
<br /> Y' Orono, MN 55356 Amount Paid: �j � h
<br /> � >: 0 Staff: J�jli/L.F
<br /> ��::� Main: 952-249-4600 Fee: S600
<br /> +� ��`��`'� F fax: 952-249-4616 Renewal: $300
<br /> �'.�c,�� �'� ��� G ti Mai ling A d dress: , After-the-fact: $1,200 Double Fee
<br /> `�kESHO�`'� P.O. Box 66
<br /> Crystal Bay, MN 5532�-0066
<br /> This application form must be completed in full. ApF�;cant 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 INFORMATION-; , 1
<br /> Site Address: L�r,�j(..n < �. �,; Q, ��,;�„� r�c� , l'�l1�J
<br /> Property Identification Number (P ): __(% t_,1 -�J r 7 - �--�- l.� � �»t�r...
<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 ❑ O�her
<br /> Zoning District: j� �'-�
<br /> APPLICANT INFORMATION: (Complete legal na�-es a d marital status required for each interested party)
<br /> N a m e: �.j�.-+�n.��s �v�, �U ,,, ��c�-
<br /> Phone (home): C�;;1.-� �t'z�:-��.� � Phone (work): ��; -° (� �G�"�
<br /> Address: ��.� '� � r
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<br /> Email: �� r � r�� c�.� � Lv c� ,rt° Fa :
<br /> OWNER II��ORMATION: (Complete legal mes a:,d r� rital status required for each interested party)
<br /> Name: '
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<br /> Phone (home): c't -�<�,� ,- �r Phone (work): ���.-�,���,� _.. "7,��,�(,,
<br /> Address: '� -�, i� �_ -') ��. JY�,��1 �� -�J`I �,�� `,
<br /> EmaiL °�(`>i�_�'�t��'�;�) �...'�"c.e,v�;�� � �'��n Fax:
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<br /> DESCRIPTION OF REQUEST: � Estimated Project Cost: $ ol�) (��
<br /> Describe the request in detail (attach additio I s eets if ne�Jes ary):
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