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C i ty o f 0 ro n o ,���,�fi � <br /> Variance Apptication <br /> Street Address: � ` Application#; � �-3 a.3. �� ' <br /> � 0� 2750 Kelley Parkway Date Received: ���Z 2 -v S <br /> Orono, MN 55356 Amount Paid: (�, r�p <br /> � °� � , , ; � Staff: �.�: ti �._. <br /> � �,. � Main: 952-249-4600 Fee: $600 ';�` <br /> � ��?��.� � fax: 952-249-4616 <br /> n� �, Renewal: $300 <br /> � � '�?` �,ti Mailing Address: . After-the-fact: $1,200 Double Fee <br /> ���ESHO4'� P.O. Box 66 -. , <br /> Crystal Bay, MN 5532�-0066 <br /> .;,. <br /> . : . � , <br /> This application form must be completed�in fulL ApF'icant will be notified within 15 days as to the status of the �n <br /> application. fncomplete applications wi(! not be placed on Planning Commission Agendas. <br /> PROPERTY INFORMATION: <br /> Site Address: �t � � <br /> Property Identification Number (PIN): �,, _ �. _ _ _ � <br /> (Attach legal description to application if not inclu ed on the survey.) <br /> Date Property Acquired (month/year): (�,�"� ❑ Yes, I own the adjacent parcels. <br /> Present use of property: �.Residential ❑ O�her <br /> Zoning District: � � � � <br /> �a <br /> APPL(CANT INFORMATION: (Complete legal n�;..�s and marital status required for each interested party) <br /> Name: �� ; g �- � � �l�_ _ _ ._ _ <br /> � ) �'3�- J3 5�( Phone (work). - — � . <br /> Phone home : — -- C � - <br /> Address: � ,� 6 -, � � � r-- <br /> Email: ; �1' � � Fax: � � � <br /> OWNER INFORM TItON: (Complete legal names a:�d marital status required for ea interested party) <br /> Name: c� C ._(�.\C 4` � a� � ,� s��9 <br /> Phone (home): ,, — � Phone (work): S <br /> Address: � � <br /> Email: � �� Fax: <br /> DESCRIPTION OF REQUEST: � Estimated Project Cost: $ ,�-���D(� <br /> Describe the request in detail (attach additional sheets if necessary); <br /> �� � -I�� ��� � .�, <br /> b�� � � ' , � — <br /> �Pi�.����1 `�..�') � ' � -'i 4- '% � t���., ��?i <br /> .M � ' ! � F /..' •yl� y <br /> ��� �'� ��t �.. ' +��ti+;it��;^�,Z4;il <br /> /{� � � � 5: <br /> 4'�� i� '� L.f�F�:2:..s �^'•.'W'Ai3J� � <br /> �AP„sr�' <br />