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. t�i�ty ot c�ro n o <br /> _ Variance A,pplication <br /> Streef Address: Application # �J�- 3 I 3 � <br /> � �� 2750 Kelley Parkway Date Received�-,�..�1�- <br /> Orono, MN 55356 Amount Paid: /,, �, f�a <br /> ��� � Staff: .r't./t.e�C� .e'1_�� <br /> �?��>-. Main: 952-249-4600 Fee: �600 <br /> � � �``� �* fax: 952-249-4616 Renewai: $300 <br /> � �:� <br /> �',�, � �'� �4`�' MailingAddress: . After-the-fact: $1,200 Double Fee <br /> �`�kESHO4"� P.O. Box 66 - <br /> Crystal Bay, MN 5532�-0066 <br /> This appiication form must be completed in full. ApF`icant will be notified within 15 days as to the status of the <br /> app�ication. Incomplete applications wiil not be placed on Ptanning Commission Agendas. <br /> PROPERTY INFORMATION: <br /> Site Address: o�/ g(� Up� �j��e <</� <br /> Property Identification Number (PIN): _ja -//�-�3- �1-(�Ol <br /> (Attach legal description to application if not included on the survey.) <br /> Date Property Acquired (month/year): oZ / ❑ Yes, I own the adjacent parcels. <br /> Present use of property: ❑ Residential O�her �(� ��� <br /> Zoning District: <br /> APPLICANT �NFORMATION: (Complete legal n��-as and marital status required for each interested party) <br /> Name: 1�j��v�C''�U� �J,�/�,/%)/7�fJ7�, �/�1�� __ . _ <br /> _ _ _. <br /> Phone (home): Phone (work): 9So7-�{75-�3 D <br /> Address: , ,� ,/ !y� <br /> Email: J�,� f�`//�Sl'�u,bLrnr7 . 0�- Fax: �Sa- `��J��(a�, <br /> OWNER INFORMATIOl�L: (Complete le a�names a�d mGrital status required for each interested party) <br /> Name: // tjC�ZDOG O p� /�'1C � <br /> Phone (home): Phone (work): J<So� ` �7�5=�3/D� <br /> Address: � �_ (/t/ <br /> ' - z � <br /> Email: '� , Fax: - <br /> DESCRIPTION OF REQUEST: ' Estimated Project Cost: $ /('��— <br /> Describe the request in detail (attach�dditional sheets if necessary): <br /> � <br /> �£ �� � <br /> . ,��' � �� � ,`� <br /> � s:.:� �:��k;, j � <br /> `��'�� .{` �:�1 <br /> �' �;.� :,c� (�., � / :� <br /> �:y` c.:,a�l't;�::e; � '4 <br /> ��.-..-".' <br />