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r � <br /> , - C�ty of 4ro�no � � <br /> . Variance App[ication � <br /> Street Address: Application# �(.,p- '3a C�� <br /> � Q� 2750 Kelley Parkway Date Received; �-j-f�-2uc�tv <br /> Orono, MN 55356 Amount Paid: � `d'�� oc� <br /> � � a � ' Sfaff: ���� <br /> � ,, � Main: 952-249-4600 Fee: �`$600 <br /> �� �• r. �+ fax: 952-249-4616 Renewal: $250 <br /> �'�,c,�� ' �� ��ti�' Mailing Address: After-the-fact: $1,200 Double Fee <br /> '�-k'EsH.o�' P.O. Box 66 <br /> Crystal Bay, MN 55323-0066 <br /> i'his application form must be completed in full. Applicant will be notified within 15 days as to the status of the <br /> �ppiication. Incomplete applications will not be placed on Planning Commission Agendas. <br /> PROPERTY INFORMATION: � <br /> �ite Add ress: '7 y'S S,r�r�:+�,�, � �( (j�.o c�,a� . <br /> �roperty Identification Number ( IN): 3�- 11 g -- 23 -� 2.� - ooc�3 <br /> ;Attach legal description to application if not included on the survey.) <br /> �ate Property Acquired (month/year): S" o CJ Yes, I own the adjacent parcels. <br /> ?resent use of property: � Residential 0 Other � <br /> Zoning District; <br /> APPLICANT INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: �]a,�,�:�..,�, l.`1 �� so �n. <br /> �hone (home): � Z- - y� Phone (work): <br /> 4ddress: -� ' � City: ���,,�,o Zip: SS39.'1. <br /> =maiL• Fax: <br /> OWNER INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: -.j c,.�,.:vz � ►� so �.. <br /> Phone (home); _(' S c,�.,t.�. Phone (work): <br /> 4ddress: City: Zip: <br /> �mail: Fax: <br /> DESCRIPTION OF REQUEST: � Estimated Project Cost: $ <br /> �escribe the request in detail (attach additional $heets if necessary): <br /> r � 4 a��.� <br /> � <br /> ; �. H�.---• t- <br /> � °: � �'.� �`� ��`� ��..� ��� <br /> ,x�s� �� 3�� •'�) �}T :ri �s; �.. <br /> .,�`rr ,;��ti i <br /> ,c,.b ! �--``u:';� .i�J' i',� .��=� ��� <br /> GY� „f t i �'ie'� }�,:f�� �.. ._+.!��:� ��'��;;+�'i'�i'` �.'�'[N <br /> "y�.w' <br />