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t <br /> City of Orono <br /> - Variance Application <br /> Streef Address: Application# (�(�,-?,�G1� <br /> �O� 2750 Kelley Parkway Date Received: �_(� •_«� <br /> Orono, MN 55356 Amount Paid: ('.9 U��� a� <br /> Q k Q � Staff: !✓�P:�Gc.v�a��e . <br /> � �� Main: 952-249-4600 Fee: $600 <br /> ,� (� � ''';� a fax: 952-249-4616 Renewal: $250 <br /> �`,�, � �� �ti`� Mailing Address: After-the-fact: $1,200 Doubie Fee <br /> l.q�.Esxo.�,� 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 fhe status of the <br /> application. Incomplete applications will not be placed on Planning Commission Agendas. <br /> PROPERTY INFORMATION: /� <br /> Site Address: 17(ad 5 � c�dc� �o�G' ��'�v''�' �� �S�'1 <br /> Property Identification Number (PI : �7 �- 1l7 -a3 �! �-��a�- <br /> (Attach legal description to application if not i cluded on the survey.) � <br /> Date Property Acquired (month/year): � o t ❑ Yes, I own the adjacent parcels. : <br /> Presen t use o f prope rty: �9.R e s i d e n t i a l ❑ O t h e r <br /> �Zoning District: <br /> APPLICANT INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: ��7 ,d i cJ ��'ss <br /> Phone (home): .5Z -y�/ -v�y� Phone (work): ,�e f�r��' <br /> Address: � �� G�.� • �v �l City: �jr�na M�J Zip: �.�3��/ <br /> EmaiL• �,c� �ss ct h�'�,�I�%.ao eo�� Fax: n a-�,e_ <br /> OWNER INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: ��u��• [�--��ss � l-�f lN W�t . C(sS <br /> Phone (home): �.5�-�I7i-o�Ho _ Phone (work): �,r��-�- <br /> Address: iZ6d ��,.��i.����-2 City: CS�r� r�i�J Zip: �.��5 I <br /> Email: .�; S'sr! h 7.C� i��ltiov.�y� Fax: „��� <br /> DESCRIPTION OF REQUEST: Estimated Project Cost: $ �..5�;'� <br /> Describe the request in detail (attach additional sheets if necessary): <br /> I . 213 K��� � t�-cQ i � Y`U ✓-Q- G'1 rc�.�.�.,� 'sZ <br /> Gt- � �'l.�.i5 S t�'�-C� �-� � re�� '�E�Lvr S'--�'� ��r �lQ�" � t.c.)c� �Cca.Ut v.ey <br /> � . oi('� 2 c�v, V�� � St .z, -r-�- S (� 2_ 4J <br /> ` ,ro -�'e o'� P�vt�'r a.,-,r� o �-�-�c l,�c.sJ ! <br /> � � �� ����, �� � �-��:. �n��� <br /> 3, � �r� ������,l�f'.� �� �� l� w�� u.^� -� ��, <br /> `' 'c� f�(J�r'td j �r U <br /> ��� /J���'� �Ztr� � ��d �/t�o�.vs-e C�..�c�ss �u �i c�e� cGc�c, � �'r������ <br /> � <br /> � �vvt,, w�� �t.�s G� �e•r . - <br /> 1 , �' � �y .:.:r� �1.;j"" ;'1. <br /> � �� � � �� ' <br /> �,..�. ��� :�:� ������ �,::�� ��.� ,��' �:>>� ; <br /> S`3f�...�./�� .:i�' �`�:I �'`�:::9�"%`''y'�i� �y�`r ���) . <br /> � g_�S.:s�T,.r,:,q CF:. �rr :.( c�• 4!J i:._ti:it?..yy�y '° <br /> ;�,, !33 ,�Y i.{' �::{�,.-. <br /> ; •' c: <br /> . .. . . J:i1':'.:�:•1.] ..'I.`.�:� CA1::a�: <br /> ?3 ii . . <br />