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<br /> . Variance Application
<br /> Street Address: Application# �-'7/l�1
<br /> . �`�� 2750 Kelley Parkway Date Received: �-;E/� `�_
<br /> y— Orono, MN 55356 Amount Paid: �
<br /> � � Staff: 'l- l�/�
<br /> � Main: 952-249-4600 Fee: 5600
<br /> a j�' � 6:�. � fax: 952-249-4616 Renewal: $300
<br /> '$',�, � � 1 �ti Mailing Address; , After-the-fact: $1,200 Doubie Fee.
<br /> �`�kEsHOg'� P.O. Box 66
<br /> Crystai 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 app(ications will not be placed on Planning Commission Agendas.
<br /> PROPERTY lNFORMATION:
<br /> Site Address: ?�o b'row„� l2� So, ` (.v,�� ZAr� rn,� ,�s,�qi
<br /> Property Identification Number (PIN): � G 3 -�17 - a 3 y� o 00�/
<br /> (Attach legal description to application if not included on the survey.) �
<br /> Date Property Acquired (month/year): u,, � ❑ Yes, I own the adjacent parcels.
<br /> Present use of property: � Residential ❑ O�her
<br /> Zoning District:
<br /> APPLICANT lNFORMATION: (Complete legal na,:.es and marital status required for each interested party)
<br /> Name: She�l�a AN� rho��J !�'��w,�P
<br /> Phone (home): 9�,z- y73- $�.5� Phone (work): �,�Z- 52S �,�,� �
<br /> Address: ��v (�h u,r - � GvA 2 � ,� SS q/
<br /> Email: �.o.-►cASb � ��Te2�rr�.ve�A-. Gf S Fax: 9s2 - 5yG y�.2.�
<br /> OWNER INFORMATION: (Complete legal names a:�d marital status required for each interested party)
<br /> Name: f�i2�/� ��+.r,� 7'��wmq�' �row.►e
<br /> Phone (home): qsz � Y�3-- ��s� Phone (work): 9 S',t - 5.2s�.2.�2�
<br /> Address �(p /,3row„� 12c.2. �'o. Gv,ayz,�tT�- /�.•,i SS�'�r(
<br /> Email: Fax: gs,c --,,5-�y� -,��,� �
<br /> DESCRIPTION OF REQUEST: � Estimated Project Cost: $
<br /> Describe the request in detail (attach additional sheets if necessary): �"',�;,r7';w� /��T� rG�.�. h`.�s
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