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- City of Orono ExH�B�T A <br /> - Variance Appiication <br /> Street Address: Application # ��`J�.���� <br /> �O� 2750 Kelley Parkway Date Received—y D.� <br /> Orono, MN 55356 Amount Paid: � <br /> � �, � staff: ,,J JC�" . <br /> �''�'�w� Main: 952-249-4600 Fee: 5600 <br /> � �`�`�`'� �• fax: 952-249-4616 <br /> � �,�� � Renewai: $300 <br /> �'�.9 �' �,�G~ P.O/B x 66ress: . After-the-fact: $1,200 Double Fee <br /> kESHO Crystal Bay, MN 55323-0066 <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: <br /> Site Address: y�' ��jl Y'G� �• <br /> Property Identification Number (PIN): <br /> (Attach legal description to application if not included on the survey.) <br /> Date Property Acquired (month/year): �'�f'pt/❑ Yes, I own the adjacent parcels. <br /> Present use of property: ,�'Residential Oiher <br /> Zoning District: <br /> APPLICANT (NFORMATION: ( omplete legal nG�:.as and m,�aAr�it�I st tus r quired for each interested party) <br /> Name: �i5°�� l�'U �i�kJ ��-rr��/ l:.Y,�l ' �^d�-��� <br /> Phone (home): �,r-y— �y 9/vs� Phone (work): �b 3��/�-�'--��8`-j <br /> Address: 9dS- �v. Fc..zir � y. ••�•-v, S3'3o 3 <br /> Email; � ec l� ...�, Fax: �6 3- �l�-�— �/�o� <br /> OWNER INFORMATION: (Complete legal names�:�d marital status required for each interested party) <br /> Name: ��=-rt- Q?1x— �Li�.c��i�7�2�+�s.-�cJ <br /> Phone (horne): � Phone (work): <br /> Address: <br /> Email: Fax: <br /> DESCRIPTION OF REQUEST: � Estimated Project Cost: $ <br /> Describe the request in detai! (attach additional sheets if necessary): <br /> F � � �..> �k�,ji /,r�s.�� . -� <br /> F i� ;_7 �� � � ����1 °r�V �t�' � '� � __��l . ��� � <br /> � r � � j�c' --� �-�i. <br /> ! F� t... ... P../ iY�{4-�tc3 ? `_s ' �.`s i� <br /> C;. Yf.9:,.i. a, y � .�� �� . . . �7 <br /> l'���{ (, '� q5:..j 4� SS� x� L7L`°a t ' . <br /> 1� �.:;U;,.;4� � ,,.._..;.,a �„r r. �� (.' ,;,� �� <br /> - ��v,�aa_: .,,.......::a .....— cs:Y :��� _ <br /> , '� <br />