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City of Orono
<br /> � Variance Application . .� �
<br /> Street Address: Application# �.�(�•"?�-�3�
<br /> �Q� 2750 Keiley Parkway �Date Received: � �-aU --�.;��j
<br /> Orono, MN 55356 . Amount Paid: �n��.�
<br /> �, 0 . Sfaff: =U..e�. �i rt
<br /> ° Main: 952-249-4600 Fee: � $600
<br /> � ; � •�`�`� F fax: 952-249-4616 Renewal: $300
<br /> ��,n � � � �ti MailingAddress: After-the-fact: $1,200 Double Fee
<br /> �9kES�IO�'� P.O. Box 66 �
<br /> Crystai Bay, MN 55323-0066
<br /> This appiication form must be completed in full. Applicant wili be noti�ed 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: i�4-�c'� r�t�r..�� �~e-.. ��'� - O��r� , �...}..� 5��� �
<br /> Property Identification Number (PIN): �� _ �i� -> �Z�_ �� -. ��,�
<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: �esidential ❑ Other � �
<br /> Zoning District: ��� _ � �,
<br /> APPLICANT INFORMATION: (Complete legal na es and marital status required for each interested party)
<br /> Name: '�j ti, • � � _
<br /> Phone (home): �,�, �--a_ Z--��,� � hone (work): •�„��, �,�,,����,
<br /> Address; �1��--�-�6�=+� v �� . •i�l-c.��r.�,�i����+�. M aa ���
<br /> Email: _���c;o�..,��- �,�.r��'�-���.� �oc�, Fax: ��. ���7 � ���'�
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<br /> OWNER WFORMATION: (Complete legal names and marital status required for each interested party)
<br /> Name: �,.�� �'�.'� �oQ A,1�1 � .
<br /> Phone (home): �-� , �}.-�� -��,,�-t,q Phone (work): �j�, �r�,�_ �--�q.�,
<br /> Address: � e�-� '?�,,a�s �j�, Z�
<br /> Email: �� � Fax: �,pr
<br /> DES�RIPTION OF REQUEST: Estimated Project Cost: $ ����,--p,�
<br /> Describe the request in detail (attach additional sheets if necessary),: � �
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