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. . Cit of Orono ��� � <br /> Y <br /> !/ariance A,pplication <br /> Street Address: Application# �3�,� - ��r��t�;;, <br /> �`Q� 2750 Kelley Parkway Date Received: ,�f f J„��;��;��� <br /> Y Orono, MN 55356 Amount Paid: /' �' f`•r.`� <br /> C'?�:.��...�",r.:t . <br /> 0 � Staff: ��Vt x.►'c:; r,�.� ��__.. <br /> Main: 952-249-4600 Fee: $600 <br /> �* fax: 952-249-4616 Renewal: $300 <br /> ��l �vGi� P.Or B x 66ress: After-the-fact: $1,200 Double Fee <br /> `��'ESK°�' � 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. Incort�plete applications will not be placed on Planning Cornmission Agendas. <br /> PROPERTY INFORMATION: <br /> Site Address: "I ZZ � •�reS� Lh 1� 1�r;ve <br /> Property Identification Number(PIN): 0 7 //7 z.3 � z �o'L Z <br /> (Attach legal description to application if not included on the survey.) <br /> Date Properly Acquired (monthlyear): S �i� ❑ Yes, I own the adjacent parcels. <br /> Present use of property: �Residential ❑ Other <br /> Zoning District: <br /> APPLICANT (NFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: �eN .�hc�e�sc:� s����c.����; �ct i ��a,�. /��C�erscs.; <br /> Phone (home): �.�� y�z- 5�7� Phone (work): �r z �i 9- �5-6 I <br /> Address: �ZZ •�re3'�' .,w� :,',�� � � <br /> Email: ,� .;M � �:��fG•l��k, n�f Fax: �'.5`Z y�Z - 2��7� <br /> OWNER INFORt1IlATION: (Complete legal names and marital status required for each interested party) <br /> Name: "�e �a-� G-.s ��b��� <br /> Phone (home): Phone (work): <br /> Address: <br /> Email: Fax: <br /> DESCRIP'TION OF REQIDEST: Estimated Project Cost: � <br /> Describe the request in detail (attach additional sheets if necessary): <br /> G S�.«�� s-�,,�,, �dd�-h��►� �,-� ��-��: h�d���,�� <br /> �� . . . .. .. . _�:;3 <br /> .. � . . .. �.���� <br />