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� City of Orono � <br /> . _ � Variance �Appldcation . � � �� <br /> � Streef Address: � Application # �(p-�I G� <br /> ^ 0� 2750 Kelley Parkway _ �Date•Received: � �(-�Q-2�C,_�L�; <br /> �' Orono, MN 55356 Amount Paid: <br /> . � �. � � Sfaff: �"vz(�r �n !cer�e.1" � <br /> �'':., Main: 952-249-4600 Fee: � $600 <br /> � �;`� �+ fax: 952-249-4616 Renewal: $300 � <br /> . '�',�, . , Gti`� MailingAddress: After-the-fact: $1,200 Double Fee <br /> �•yh.E8�1�4„� 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 the status of the <br /> application. lncomplete applications will not be placed on Planning Commission Agendas. ' <br /> PROPERTY INFORMATION: � <br /> Site Address: yZo�t �C-*�'►� �1�0,� fl-� � <br /> Property Identification Number (PIN): C�? - �/? - Z.3 =�3- ��� <br /> (Attach legal description to application if not included on the survey.) � . . <br /> Date Property Acquired (month/year): � � ❑ Yes, I own the adjacent parcels. <br /> Present use of property: '� Residential ❑ Other • � <br /> Zoning District: � 1 Q � 4 . . <br /> APPLICANT INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: �,,/'; �I ��M.�. �- tyl A�Rv ��!<- �•����J� <br /> Phone (home): ��z _ �t 3 - ,�'y 3 z � Phone (work): � <br /> Address: 2!�y S��dY��ud R�A ��c.,�, � ,�►� S`5''��I <br /> EmaiL• ,.. �s2,�n'�;.c�►b.... r.► c,nza:l �� Fax: ....- . _ � <br /> OWNER INFORMATION: (Complete legal names and marital status required for each interested party) . <br /> Name: � <br /> Phone (home):� Phone (work): <br /> Address:. <br /> Email; �ax: � <br /> DESCRIPTION;OF. REQUEST: Estimated Project Cost: $ �d� <br /> Describe the request in detail (attach additional sheets if necessary): . � <br /> -(� c.7�a'�ln cvw� `��e�. �,1P.�/a�,�..c � b.d�L� h,e�..� �'L�..e-�e. <br /> A�:� pFy� �,;.,�`-;� :R;! ,.��:� :y. .--:.���: <br /> �(y ��.,�� Cvii:e�S t.�:. � F... � ir <br /> u,f� �`) _j� f �' .;:� r•=� .��-� <br /> • t 1`•id z."'• .:.,. 1 <br /> . � Ci:+:�' F�,� "•vE::n<' :• ,,.,�;i'r'%`� •A <br /> ."•;: 'a t �� it �� <br /> ��=° ��,:. �;�. ;r� ,=:� �;;_�,::� <br /> „a:� �:.,_ . <br /> � ��� � � <br />