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� Cit of ��� � <br /> y Orono <br /> � Variance Application <br /> Street Address: Application# f,� � �� �` <br /> �Q� 2750 Kelley Parkway Date Received: � " f„� ..r'� <br /> O O Orono, MN 55356 Amount Paid: � <br /> Staff: .�'i/'"�fi <br /> Main: 952-249-4600 Fee: $600 <br /> � ,,•-� � fax: 952-249-4616 Renewal: $300 <br /> � ' �ti Mailing Address: After-the-fact: $1,200 Double Fee <br /> �9kESH0�`'� P.O. BOx 66 <br /> Crystal Bay, MN 55323-0066 <br /> This application form must be completed in full. Applicant 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: ac�� ���d �; �, �d�,�74 ,,,,,c� �s39/ <br /> Property Identification Number (PIN): � <br /> (Attach legal description to application if not included on the survey.) <br /> Date Property Acquired (month/year): /�I� ❑ Yes, I own the adjacent parcels. <br /> Present use of property: � Residential ❑ Other <br /> Zoning District: <br /> APPLlCANT INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: .�r'��r,l� ,e�.�.� A � . �Goeo <br /> Phone (home): 9S2 -���-Z�l�.� Phone (work): 9,�2 -c�7/_ppr� <br /> Address: 2�25� C'A-y�� pr �2r> City: u�d��qrA Zip: �39/ <br /> Email: ,��ue �o� CJ,�. �EA�oz_r��,�/ Fax: <br /> OWNER INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: �5,r��i� As A�r���� <br /> Phone (home): Phone (work): <br /> Address: City: Zip: <br /> Email: Fax: <br /> DESCRIPTION OF REQUEST: Estimated Project Cost: $ � •Oa <br /> Describe the request in detail (attach additional sheets if necessary): <br /> AnT.� �SG'.�E�-�cJ pn�'G�t� TD �.�r>� ��r � D� �/or��F�.f�.�S�� l>sr�I�'� <br /> 2.?�7��7�T/D� �'Q .f/�J TT'�-7� aL/ �F'�c7'�P>'�'1 Z2� SrJ�L/6� .4/t9p j{� D �C5-r)r"P <br /> cA�c.�. �E�-: ` - <br /> , �� .�. - � <br /> ' ;ck rr"� <br /> 2' � � <br /> I �-' ���, �i ttr;• . . <br /> '�� x <br /> �' `�f r.�y S, ���"N �t 15l ��� 1 <br /> Jy,.k'.� 1S .f: ��.q� XY:. ,�-�� �3 <br /> -` �4 } `j �:"� .N 'T lJ � <br /> {'��rt�.� y,;..ra=sc.� `�.y r �^�•' ��i.__��5�, . <br />