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� - � � � � � � City of 4rono� ��j�' �
<br /> � � . � Variance �Application �. � �
<br /> Streef Add�ess: Application# (�� -�317 2
<br /> � �`Q� 2750 Keliey Parkway ' Date Received: �•2,-"7_�"
<br /> b' Orono, MN 55356 Amount Paid: � ���('�,c�t�
<br /> �0 � � Staff: _�a,�i ce.
<br /> � Main: 952-249-4600 Fee: $600 � �
<br /> a ' �,• � fax: 952-249-4616 Renewal: � $300 �
<br /> a'�,s, �ti``' Mailing Address: . After-the-fact: � $1,200 Double Fee
<br /> ��kEsH��'� P.O. Box 66 . . � �
<br /> Crys'tal Bay, MN 5532�-0066 . .
<br /> This application form must .be completed in full. ApF:�icant 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: �. :�5''S�� �r�d.er�'c•�.. �-�-, t,c�c�.t�..-�a , "}'n Y� Ss� �1 �
<br /> Proper�y (dentification Number (PfN): a 0� 117 --� ��3 �� b 0 I �7
<br /> (Attach lega( description to application if not included on the survey.) . . . � �
<br /> Date Property Acquired (month/year): 8 � l-4 . � Yes, l own the adjacent parcels. . .
<br /> Present use of property: . � Residential � .❑ O�her .�� .
<br /> Zoning District: . � � � � �
<br /> APPLICANT INFORMATION: (Complete legal'na,:.as and marital status re uired for each interested party)
<br /> Name; ��.MM���1�tJ :,��eN�'�''. .�r�'�, . ���rt.r+c�7' � t'1✓r � �
<br /> Phone (home): ���,�-q•7�.. �� �Phone (work):.� �7���-2.zq��= ���.0 . � ��
<br /> Address: ���7 C7� !zb f7 �'G� ����o, M� �'��Zv ' .
<br /> Email: �uJ,�- �� Fax: '7����t�72��t�G-/. �
<br /> OWNER INFORMATION: (Complete legal names s:�d marital status required for each interested party)
<br /> Name: � : �{�,UI ;.�✓�� i2v�s S� I ( �- 1_li n.�� Llz�� T>>r�r c��-� _
<br /> Phone (home): '' �5�,� y y� - � 9 �� � hone (v.�o�-��� (� !a a�� � �i ��r c�
<br /> Address: 3 ,�^ � � S+ /`''� �
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<br /> Email: . i�ynv,r�nv�.�,,;nac��tC� ho-I-vnr.u;l,c.�ry� � � Fax: � . �
<br /> DESCRIPTION OF REQUEST:�` ' . � Estimated Project Cost: $ �-� ��(�
<br /> . Describe the request in detail (a�tach additional sheets if necessary): . . � � �� �
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