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<br /> . City of Orono
<br /> Varianc� Application � � -
<br /> StreetAddress: Application# ` - (r�
<br /> � 2750 Kelley Parkway �Date Received: �_�����
<br /> . O� �Q . Orono, MN 55356 Amount Paid: �� U(�•. Uz�
<br /> , . Staff: �/.��c,t�
<br /> ' � Main: 952-249-4600 � Fee: � $600 �
<br /> � ' �•�i�' � fax: 952-249-4616 Renewal: $300
<br /> � � �w MailingAddress: After-the-fact: $1,200 Double Fee
<br /> ��k'ESH�4'� P.O. Box 66
<br /> Crystal Bay, MN 55323-0066 � , �
<br /> This application form must be completed in full. Applicant will 6e nofified within 15 days as to the status of the
<br /> application. Incomplete applications will not be placed on Planning Commission Agendas. �
<br /> PROPERTY INFORMATION: ,�
<br /> Site Address: ��� �`";,�'��_ �-t,�_ .�,,.��'�'�,�.�r�
<br /> Property Identification Number (PIN):
<br /> (Attach legal description to application if not included on the survey.) � . .
<br /> Date Property Acquired (montF�/year): �;�,p,S ❑ Yes, I own the adjacent parcels.
<br /> Present use of property: �'Residential e' ❑ Other • �
<br /> Zoning District: � �
<br /> APPLICANT INFORMAT(ON: (Complete legal names and marital status required for each interested party)
<br /> Name: �� `r'S��r,n��-- .�'o'FI�G�...�.�,�+•�..,.-��
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<br /> OWNER INFORMATION: (G�or�''"�lete legal names and marital status required for each interested party)
<br /> • Name: ��" . � .
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<br /> Address: � � '
<br /> EmaiL• L Fax:
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<br /> DESCRIPTI6FJ OF REQUEST: Estimated Projecf Cost: $ ���-�
<br /> Describe the request in detail (attach additional sheets if necessary): ` .
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