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� . City of Ororio
<br /> . � � . . . Variance Appli,�ation �
<br /> Street Address: Application# C��n'� ° �
<br /> �Q� 2750 Kelley Parkway • Date Received: � -/�j—Q�,,
<br /> Orono, MN 55356 � Amount Paid:
<br /> �. � Staff: /�;�(,Q�f�Lr�.
<br /> Main: 952-249-.4600 � � Fee: $600
<br /> ,a � fax: 952-249-4616 � � i. Renewal: $300
<br /> �',�, Lti�' Mailing Address: . ; ; �� After-the-fact: $�,200 Double Fee
<br /> L`gkES1'L�4"� P.O. Box 66 � � .
<br /> , Crystal Bay, MN 5532y-0066
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<br /> This application form must be� completed in full. Ap�:icant will be� r�'otified within 15 days as to the status of the
<br /> app�ication. [ncomplete app[ications will not be placed on E�lanning Commission Agendas.
<br /> PROPERTY INFORMATION: �
<br /> Site Address: ���� �X �',i ;
<br /> Property ldentification Number (PIN): �� _ ��•�--Z3-y�:- Oc�pW
<br /> (Attach legal description.to application if not included on the �urvey.) �
<br /> Date Property Acquired (month/year): �b.sc� �OS ❑ ,Yes, I qwn the adjacent parcels.
<br /> Present use of property:i l�:Residential ❑ O�ner � �
<br /> Zoning District: . � . ; �
<br /> � � � . ;
<br /> APPLICANT�INFORMATION: (Complete legal na�:.as and mar.ital.status required for each interested party)
<br /> Name: ,� ,� � �
<br /> Phone (home): Z. Phone (work): �Sz_ y�y- 3�/g
<br /> ,4ddress: c�� ma,�o� Qu� , .
<br /> EmaiL• Fax: � -
<br /> OWNER INFORIV(ATION: (Complete fegal names a:,d marital status required for each interested pa�ty)
<br /> Name: �.fZ��� C.�aTa�p. ���� � ,
<br /> Phone (home): �C2_ y�� �si� Phone (w"ork): =�,Z_ g8�_ ���g
<br /> Address: �5 ,,,,,,,�,,�� �y,E f
<br /> Email: � � 1 Fax:
<br /> DESCRIPTION OF REQUEST: ' ; Estimated Project Cost: � �O� �.7
<br /> Describe the request in detail (attach additional sheets if necessary):
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