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_ �..�ty or vrono <br /> Variance Application � <br /> Street Address: Application # _�'��-� ,?�j��� <br /> ,�`�� 2750 Kelley Parkway Date Rec�ived: �_ j 7_ ��"' <br /> Y' Orono, MN 55356 Amount Paid: <br /> i a C��j� c�v <br /> 0��;� O Main: 952-249-4600 Staff: �,/��:/��,�,�, <br /> Fee: S600 <br /> � � ' '� �* fax: 952-249-4616 Renewai: $300 <br /> �� � �?� �tii4 Mailing Address: . After-the-fact: $1,200 Double Fee <br /> �'�kEsxo4'� P.O. Box 66 <br /> Crystal Bay, MN 5532c-006fi <br /> This application form must be completed in full. ApF�:icant wili 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: 3[di 9 N.�►�ec J�2 <br /> Property Identification Number (PIN): <br /> (Attach legal description to application if not included on the survey.) <br /> Date Property Acquired (month/year): ❑ Yes, l.own the adjacent parcels. <br /> Present use of property: ❑ Residential [�"O�her 2 �>> l-�-o�� <br /> Zoning District: <br /> APPLICANT INFORMATION: (Complete legal n�,:.es and marital status required for each interested party) <br /> Name: C� ���.� S �-,.+� ,�z,o,. r-t. ,�✓.►-n�..1 ._. - U'(�crL��,� <br /> Phone (home). '�-(, 3- ��3 4 3�+1 Phone (work): � c� 3-s�r b- � 33 g. <br /> Address: �t��f y�,�<<,�,��► ��, �- ��Y,�,fl�-�-, � � ss�-,.4z <br /> Email: C, g,a-,�,��zz� @ ��, c�� Fax: 7 m.�•sy�•9c.�y <br /> OWNER INFORMATION: (Complete legal names a:,d marital status required for each interested party) <br /> Name: <br /> Phone (home): Phone (work): <br /> Address <br /> EmaiL Fax: <br /> DESCRIPTION OF REQUEST: � Estimated Project Cost: $ 2�-�, ��� <br /> Describe the request in detail (attach additional sheets if necessary): <br /> �=��- 70�..�� �h.�s�n�4 STn,�c.-N�2 E �.1, ,� rl i�c✓• <br /> � � �� 1`z� `�.� ��k��1� r <br /> �.^�!�r.+�`fr�r �� �.,� � <br /> 9 ��ww y � <br /> �14 1 <br /> . �1P:`.F� J� `�A I <br />