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: v� �y v� v� v� �v <br /> �x���1��` Variance A lication <br /> . pp <br /> Street Address: Application# �,��:�' �i��'�� <br /> 2750 Kelley Parkway Date Received: ��� 1�1 ;�.>�;�-� <br /> �"�� Orono, MN 55356 Amount Paid� J ,�� /r>�jtj ,��7� <br /> 0 � Staff: d��li�,t/� t��:�� <br /> Main: 952-249-4600 Fee: �600 <br /> �a �' , � fax: 952-249-4616 Renewal: $300 <br /> �',�, �ti Mailing Address: . After-the-fact: $1,200 Double Fee <br /> �q'�'ESHO�'� P.O. Box 66 <br /> Crystal Bay, MN 5532�-0066 <br /> 7his application form must be compieted in fulL ApF;cant will be notified_within,, 15 days as to the status of the _ <br /> application. Incomplete applications will not be placed on Planning Commission Agendas. <br /> PROPERTY INFORMATION: <br /> Site Address: ��(�D �v�! ��('°-� , ��u ���� �l 1� <br /> Property Identification Number (PIN <br /> (Attach legal description to application if n �t included on the survey.) <br /> Date Property Acquired (month/year): ��!j� ❑ Yes, I own the adjacent parcels. <br /> Present use of property. �� Residential ❑ O�her <br /> Zoning District: <br /> APPLICANT INFORM�AT�I,ON: (Complete legal na�:.as and marital status requiretl for each interested party) <br /> � <br /> Name: �,�, �� <br /> Phone (home): � '�- - )r Phone (work): ��L� ..(�►� 5--2���7(,� <br /> Address: � ' � � <br /> Email: - ' C , C� ' Fax: �,�- y-71- f`f��5C� <br /> OWNER INFORMATION: (Complete legal names a:�d marital status required for each interested party) <br /> Name: (��' � (..., i ' �n � l � <br /> Phone (home): ����- C.�'7 �-�' j 5� Phone (work): ( � - �Cb <br /> Address: ��`i�o��v'TPlae� 1�.����%�M Ill ,�5��! <br /> Email: .i��.U��o 1��`�C- �r7c.�'�t�n� Fax: �1�� •�-I � I-!���ti <br /> DESCRIPTION OF REQUEST: � Estimated Project Cost: $ (��,p� ,� <br /> Describe the request in detail (attach additional sheets if necessary): <br /> �er� ve - " � ��.d - � , t �- <br /> �' . 'E. .�. � r �'`�o(��_e --� b G� r�i � <br /> r � � � J �a <br /> _ , � - C-? �Ef� �' � v <br /> �� 'r�r ��� <br /> C'a ��� �' '' � �' ti rq <br /> , � 1� �,;� r � .:3 �r�,� <br /> �� � • � <br /> � �i ev "t"1 <br /> `�.,;: r,�'� �.. .... "�.,,,�;,u'" y,;:.-a�u�:€�y� <br />