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� Ci�y of 4rono <br /> Variance App�ication <br /> Street Address: . - Application# O (p "3 j��� <br /> ��� 2750 Kelley Parkway Date Received: � —�:�_�� <br /> Orono, MN 55356 Amount Paid: (d���,, cr'o <br /> � � � � Staff: �P..•lCt,nc� <br /> �',. Main: 952-249-4600 Fee: $600 <br /> ` � � � fax: 952-249-4616 Renewal: $250 <br /> �� � �� �ti`� MailingAddress: After-the-fact: $1,200 Double Fee <br /> �9kESHQ�'� P.O. Box 66 <br /> Crystal Bay, MN 55323-0066 <br /> This application form. must be completed in full. Applicant wili be notified within '15 days as to the sfatus of the <br /> application. Incomplete applications wi(i not be placed on Planning Commission Agendas. <br /> PROPERTY INFORMATION: <br /> Site Address: ;,�'.('�� s G�15Gv �t�� n.1� <br /> Proper�y Identification Number (PIN): <br /> (Attach legal description to application if not 'ncluded on the survey.) <br /> Date Property Acquired (month/year): � c�a,F, ❑ Yes, I own the adjacent parcels. � <br /> Present use of property: � Residential ' Other � <br /> Zoning District: <br /> APPLICANT INFORMAT(ON: (Complete legal names and marital status required for each interesfed party) <br /> Name: " �;J I l/a�G;��,,,� <br /> Phone (home): --- Phone (work): C�l2� zS�95�a� <br /> Address: c.(� f �i�, � , �.. City;..�.yJ��i- .�4�' Zip: "S ��( <br /> Email: �'�,� a:�s-�''� � ,/.���.- � ���,.�-, Fax: %�z- /7v--�f�z-�' <br /> OWNER INFORMAT(ON: (Complete legal names and marital status required for each interested party) <br /> Name: /�j�/.�, <br /> Phone (home): � Phone (work): <br /> Address: City: Zip: <br /> Email: Fax: <br /> DESCf21PT(ON OF REQUEST: Estimated Project Cost: $ �(7U � <br /> Describe the request in detail (attach additional sheets if necessary): �`��� ;,,��,,�, ," L '._.�_ <br /> �'�� �. � �: �1� �- �a-����,� ��v� �� Z� ��✓ - -� <br /> ;`��nn i L�' t iJ �5/Z� �L• •-�..-z.�-�i��-ir.r'�� 5�r�-��..��� +��t�J/-� b�s `�sin��.�s hu( <br /> ��'�����f���s ��c3:_°f�r�-����� S-T�����-��a� ,�'wo,. J� � 1 ` ' �/ .r� <br /> .s, c t ) �rGi.)n) '-i f�''�' i -�'�/=J`o:� <br /> G�r�T l��rD�� � ��- ����5"'1"� � r�%Er-t-1 u 1 ; •�, _��, 'ri���,�i lr>� • c� �,..�J <br /> � �:. j� r%" 1�� <br /> �� ��� ci :;7` ....':r•:i .•:, �� .:'';•-:. . ' <br /> ' .���.;iF .. ��:' �.: `'r <br /> � . J �~ �<r:. • -- •'y <br /> . - .J . . ' ... ...� - `:,n <br /> . . ,_�':__.1.s5 `•,,' '.( _ _' — "- <br /> Gv+ 4't� �•i�:. i--.-... =i •ti:.._...._- .-i_...._. <br />