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� - City of Orono � <br /> , Variance Application <br /> Streef Address: Application# O (p ",?j���G� <br /> �0� 2750 Kelley Parkway Date Received: � -a�_�(v <br /> Orono, MN 55356 Amount Paid: (p�)�, crv <br /> � � � ' Staff: ��•1�,��� <br /> � � Main: 952-249-4600 Fee: $600 <br /> � � , ';-'�r �+ fax: 952-249-4616 Renewal: $250 <br /> ��'�.q�. og,'�G~� P.O/Box 66ress: After-the-fact: $1,200 Double Fee <br /> Esx Crystal Bay, MN 55323-0066 <br /> This application form. must be completed in fuli. Applicant wiil be notified within 15 days as to the status of the <br /> application. incomplete applications will not be placed on Pianning Commission Agendas. <br /> PROPERTY INFORMATION: /� � <br /> Site Address: ;�..`�(�� � G�1SGv J"l�� ,-J� � <br /> Property Identification Number (PIN): <br /> (Attach legal description to application if not 'ncluded on the survey.) <br /> Date Property Acquired (month/year): �, c�,E, ❑ Yes, I own the adjacent parcels. � <br /> Present use of property: 0 Residential ' Other <br /> Zoning District: <br /> APPLtCANT INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: ,�I l�a�s � <br /> Phone (home): Phone (work): GGz� zS'v 9ycz� <br /> Address: , ��P� � p 1� z , _. CitY�. ���1��- .�s'r'��' Zip: "S ��( <br /> Email: ��� G:�s-�'� � � ��.- , e..��� Fax: %S� �7v—��Z� <br /> OWNER INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: l�(�/� <br /> Phone (home): Phone (work): <br /> Address: City: Zip: <br /> Email: Fax: <br /> DESCRIPTION OF REQUEST: Estimated Project Cost: $ �UU �vt� <br /> Describe the request in detail (attach additional sheets if necessary): :.�-�� ti,✓�,,�.,,� L,',�.;� --t�; <br /> _'���,P1�'�- n��,,.��rJ 't�- lf�i S��"/�'V S� 5a�ilA��-✓L�. !�� ��-�✓ � Z n A ��� j_ � <br /> S�nn i Ldl!' e n1 S!Z'�. "1?� �i��-i����; 5r'l��-✓�u��. r'12� f��1��/f��rC�.�,��; `�'si/1av�hitl <br /> �1���'� .il ��a '(�� � ; �- S�"c� ��TL�2.;''-�-/�a� � v,i (,� 'r• ` �' /1/.uv�2�.�'-"-/�� <br /> a;:� <br /> G�EJ`I_'' i�S•_�t�t�•� �' �'�- ���5� � t:����-4�r�.,.1 i •S' ��� '�i*r..'���"�.��� ��� '�9 �_ Ir�� <br /> � ' � �� �'�� � <br /> 4 �� S`}'-�'�:1 k s 1 �.. /, <br /> �� ' � � :1 r , t ' � , <br /> ��. �r� u" �: � ` z <br /> :�:,�' iJ'3;� �`°:' ; ? "`t' _ J °:� <br /> �EiJ , : .: 5] r <br /> ��t ..� C�:::=5:»7 �c�!�:�� -�.n''7 <br /> '�C_•' <br />