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� City of Orono �i1�� w A <br /> � Variance Application <br /> Street Address: Application # (��-�l O�I <br /> �`�� 2750 Kelley Parkway Date Received: � --��-US� <br /> y Orono, MN 55356 Amount Paid: -�, �'j��, U0 <br /> 0 :�� O Staff: /�l.e,�c���t_� <br /> ��°'*� Main: 952-249-4600 Fee: S600 <br /> :•��� . <br /> �. �t�,��� � fax: 952-249-4616 <br /> � �,,� � Renewal: $300 <br /> `�'.�, � " '�r� Gti Mailing Address; . After-the-fact: $1,200 Double Fee <br /> � P.O. Box 66 <br /> �`��'Es8�4' Crystal Bay, MN 5532r-0066 <br /> This application form must be completed in full. ApF�;cant wili be notified within 15 days as to the status of the <br /> application. Incomplete applications wii! not be placed on Pianning Commission Agendas. <br /> PROPERTY INFORMATION: <br /> Site Address: p � <br /> Property Identification Number (PI ): , —2 'Z G�'0`"' , <br /> (Attach legal description to application if no included on the survey.) � <br /> Date Property Acquired (mo th/year): �� �� ❑ Yes, I own the adjacent parcels. <br /> Present use of property: �Residential ❑ O�ner <br /> Zoning District: <br /> APPLICANT INFORMATION' (Complete legal n�,:.es and marital status required for each interested party) <br /> Name: ' Gt,� � ` � <br /> Phone (home): ct� z.��-� ��,� � Phone (work): <br /> Address: q . ' <br /> Email: ��e , m, u� � '�, � Fax: � l . <br /> OWNER INFOR¢IIATION: (Comp(ete legal names �:-d marital status required for each interested party) <br /> Name: ��/�IG1 GL' <br /> Phone (home): � �� Phone (work): (�)� ,�(�3 1y j,y�.� <br /> Address: q � � <br /> Email: (' i�l`), r �, � Fax: J <br /> DESCRIPTION OF REQUEST: ' Estimated Project Cost: $��C� O <br /> Describe the request in detail (attach additional sheets if necessary): ��ma�� ��j�� <br /> r.�,r- � �'�'f`�l'� �'l�� G�r-r '� -��c`i3� l�v�►�-� � '(���^. <br /> � ., 5z cr� �-� '��a �!"' /�S yL ' �' <br /> �C��.I S -� �� C �v��i v�o-- ��ra v�c rl�� Cn-�.r'�S�-C � <br /> � <br /> �_ :� <br /> � , ;;; <br /> , _ { , _ :a ; <br /> � ' ;� i '� z_w:;�:.�>a • <br /> � [d -._ . 1 •.—:._7 `"':"� . <br />