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�...:.:..._ - -. -- .-- C i t_y_o_f_0 r_o n_o_ � __��__.__�__ <br /> � . Variance Application . � � <br /> � StreetAddress: Application# �(���2� <br /> �O� 2750 Kelley Parkway ' �Date Received: Gf ' <br /> Orono, MN 55356 Amount Pa'd: -�' <br /> � �, � � Sfaff: i C;� . <br /> Main: 952-249-4600 • Fee: � $600 �� <br /> +� � � � �* fax: 952-249-4616 Renewal: $300 <br /> '��, � =� Gti�' MailingAddress: • � After-the-fact: $1,200 Double Fe� <br /> �`�k'Esxo�''� P.O, Box 66 • <br /> Crystal Bay, MN 55323-0066 <br /> This application form must be completed in full. Applicant will be notified within 15 days as to the status of the <br /> application. (ncomplete applications will not be placed on Planning Commission Agendas. <br /> �'ROA dRe s 1 N FORMATI 7��1 N o���� SI�U�'e I�r�-� � <br /> �roperty Identification Number (PIN): <br /> (Attach legal description to application if not included on the survey.) � . <br /> �ate Property Acquired (month/year): ❑ Yes, I own the adjacent parcels. <br /> Present use of property: � Residential ❑ Other � � <br /> J`Loning District: j� j � . <br /> APPLICANT INFORMA 10 : (Complete le�I names�d marital status re uired for each interested party) <br /> �.� I �����c �'�C S. �/.�ss.�u-x.G ' z�.G�G/,��c.s.7`' C'p.�� <br /> Name: ,�,V i� <br /> Phone (home): 1$"2-v�2-y�yz-- � Phone (work : Qsz- ��y- o�-G <br /> Address: y/ds'" �o,�`�;�� H /3� A/iv ��e� .�,� �S�.3�'y <br /> Email: �"�...h� , �a�-c Fax: � �S�z - y7i s�y <br /> OWNER 1N ORMATION: (Corriplete gal names an�arital sta s required for each interested pa�ty) <br /> Name: ��� � <br /> Phone (home): �- Phone (work): �••�-�- . <br /> Address: .Sd.-.-�-- <br /> Email: Scz,..�.�- Fax: a�.-..-�.� <br /> � QESCRIPTI�N OF REQUEST: Estimated Project Cost: $ <br /> Describe t request in detail (atfiach a itional sheets if��essary): __ <br /> ...7 �,� o-yti.- � <br /> cu<�G ..�� <br /> ` �� . <br /> �-._. . <br /> c� ' ` ��� <br /> , , <br /> {°,., y,��1 .f� �w � � '�'�,'��� <br /> te�. , �.t ..ry i l; i')� �,�+�' �„a=,,n;�e. <br /> i�r. �,,�.. ' "p�� <br /> � •� � f.i� "��l �. <br /> f) Q�. s� °+ *,� <br /> t��,�M ���� ��"'���^ *� �.� 7E�T� �,�� <br /> ...+�.L' Tr_4.�} � <br />