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<br /> City of Orono
<br /> � Variance Application
<br /> Street Address: Application# ��j,' � �O
<br /> ,�`(�� 2750 Kelley Parkway Date Received: J p7�/j�
<br /> y Orono, MN 55356 Amount Paid: �{/1�
<br /> � 0 Staff:
<br /> Main: 952-249-4600 Fee: $600
<br /> � �. � fax: 952-249-4616 Renewal: $300
<br /> �� � �� �ti MailingAddress: After-the-fact: $1,200 Double Fee
<br /> �•y,k.EsB��,� 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: � ��, � �`��,�zl;,,� � ,�� ,
<br /> Property Identification Number (PIN): � � — ���-� �- �� a � �... — �� � �-/
<br /> (Attach legal description to application if not included on the survey.)
<br /> Date Property Acquired (month/year): � ❑ Yes, I own the adjacent parcels.
<br /> Present use of property: .L�Residential ❑ Other
<br /> Zoning District: _ �.�..,, , (�
<br /> NPrw-� G��2' �I�61a- ��l D LI
<br /> APPLICANT INFORMATION: (Complete legal names and marital status required for each interested party)
<br /> Name: ��r��; � . �q��,.;�°i_d,n�_�,�� �� �re �-�-
<br /> Phone (home): _r-��,�-r-�-j�]- �.�.^,�C, Phone (work). Sca,�.,.�,
<br /> Address: �.°lb� ���. ��,�-c_. c�:�,�� CitY- �i:.��;.,. Zip: �' J
<br /> Email: _ �,r-�;h��� �� �5,���,Yk-zy- . �� -�- Fax: '�?t�,� -�-1 Z- l,,5�'�i
<br /> OWNER INFORMATION: (Complete legal names and marital status required for each interested party)
<br /> Name: �.
<br /> Phone (home):.��� �' �— Phone (work):
<br /> Address: � City: Zip:
<br /> EmaiL Fax:
<br /> DESCRIPTION OF REQUEST: Estimated Project Cost: $ /�, � P ; �;��
<br /> Describe the request in detail (attach additional sheets if necessary): , ` 1,. �;� z „�..�,
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