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� City of Orono
<br /> . �
<br /> � Variance Application . � � � �
<br /> Street Address: . Application# (��- 3 2�(�
<br /> �(�� 2750 Kelley Parkway �Date Received: � �--(y�0(o
<br /> Orono, MN 55356 Amount Paid: _���'��p(7
<br /> . O�` ° O , Main: 952-249-4600 Sfaff: �� �
<br /> � .: Fee: $600 -
<br /> `�,� � :'.� F fax: 952-249-4616 � Renewal: $300
<br /> � � �� MallingAddress: After-the-fact: $1,200 Double Fee
<br /> �9�ESHOg'� P.O. BOX 66
<br /> Crystal Bay, MN 55323-0066 •
<br /> This application form must be completed in full. Applicanf will be notified within 15 days as to the status of the
<br /> application. Incompiefe applications will not be placed on Planning Commission Agendas.
<br /> PROPERTY INFORMATION: �
<br /> Site Address: d�' �F,p� ��. �, � �,����,�-T-� y��� �s�J
<br /> Property Identification Number (PIN): �� �,�J� �.a� /' �o�,
<br />� (Attach legal description to application if not included on the survey.) .
<br /> Date Property Acquired (month/year): /d � ❑ Yes, I own the adjacent parcels.
<br /> Present use of property: ,� Residential ❑ Other � �
<br /> Zoning District: ,�',�_j,�
<br /> APPL{CANT INFORMATION: (Complete legal names and marital status required for each inferested party)
<br /> Name: � l�ri�rz,�/ �i�;�J✓ �
<br /> Phone (home): 9�a f�,�- J��� � Phone (work): �
<br /> Address: Su.� 11!r=e��dAG� /� u/.�i��T �ifY S�`�5'/
<br /> Email: d��C �',(�_�'aL � 1.�..�-► Fax: -----_
<br /> OWNER INFORMATtON: (Complete legal names and marital status required for each interested party)
<br /> N a m e: ,=d�i�,�.�,� J �` ,�.4,h/� � /���/ O�i���ri�
<br /> Phone (home): s-- Ph"one (work): d--
<br /> Address: �s-a�-- J%�,r:,c��G � �✓ �ii1-�.�.�i�% .�av �.S�r�9,1
<br /> Email: iV�� � I���-a � .- ���s,-, �' Fax: �
<br /> DESCRIPTION OF REQUEST: Estirnated Project Cost: $
<br /> Describe the request in detail (attach additional sheets if necessary): �
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