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V1 ��/ V1 V[ VIIV <br /> = Variance Application <br /> - StreetAddress: Application# (�(a--:�j�l,�_ <br /> � (�� 2750 Kelley Parkway Date Received: � �_��_ tj� <br /> Orono, MN 55356 Amount Paid: -(� �`�(�, U� <br /> � � 0 Staff: 1 C��.��� <br /> ���� Main: 952-249-4600 Fee: �600 � <br /> �1.M' �y.. <br /> � � �.�. � fax: 952-249-4616 Renewal: $300 <br /> � � `, �ti Mailing Address: , After-the-fact: $1,200 Double Fee <br /> �9kE5H�4'� P.O. Box 66 <br /> Crystal Bay, MN 5532::-0066 <br /> .__ .__ __. .. <br /> This application form must be completed in full. ApF�icant vrill 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: �% �.S (��-�Gi /`t��C, � . �� :� r� �� �'(F'�. t �� �:5�� <br /> Property Identification Number (PIN): :� j_ �� �� � � "� 1� ��� � � <br /> (Attach legal description to application if not included on the survey.) � <br /> Date Property Acquired (month/year): fl'�_�y❑ Yes, I own the adjacent parceis. <br /> Present use of property: �' Residential O�ner <br /> Zoning District: <br /> APPLICANT INFORMATION: (Complete legal na;..�s and rnarital status required for each interested party) <br /> Name: ��'���c_nr � ,S �.��o (� �n ,.l <br /> Phone (home): � 5 � - y 7,3 -j 3!� �? Phone (work): ;, , _ �. �.� -- � � � <br /> Address: � ,� �� ) . ;,,-- L,,,�-. ,.,� �+1'. <br /> Email: s-�- r _ a. _� � c� .v � �. ' , � � Fax: <br /> OWNER INFORMATION: (Complete legal names �:�d marital status required for each interested party) <br /> Name: �-�- ���c � 12. � ) n �..� (4 s�,�.s <br /> Phone (home): �S-� _ c� � �3 � � Phone work : <br /> ( ) `7 t� � - y� � � �/ '7 � <br /> Address: Cll �S (o.-FL-t J e i�- o�� y,4--/,..� /1��/t <br /> EmaiL` � Fax: <br /> DESCRIPTIQN OF REQUEST: � Estimated Project Cost: $ d��� �' ' <br /> Describe fhe request in detail (attach additional sneets if necessary): �_��,, sf� � c � c� <br /> ��i X a � �'''"/1 .� I �c�r t",� c7 ,r✓l � �"- 5� �' �`�. � i c� C� `J -� <br /> � X ( S � ► /�G1 �✓1 h cJ r"'j C-� . <br /> �.� � � .� %• <br /> � ,e,�� �`,�1 `s"' ,;i r . <br /> � �. `:� •i k:�: r , <br /> ��V � ' + ` ,� <br /> , . _� <br /> � � � � � <br /> ��,,,w •�"�� J ''�t.,�sr-'' �ew..%' <br />