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<br /> � � - City�of Orono ; �, . .
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<br /> . Variance Application � � -
<br /> Street Address:::: � � APPlication# �(o',�j�`I�
<br /> ; . �� '2750 Kelley Parkway , � Date Received: /d-f�p C.o
<br /> • .� Orono, MN 55356 Amount Paid: (pQCj,,O�p
<br /> 0 � � � , �Staff: ' F�(/�(�c.�n ��%►�x-,�"'
<br />, , � Fee: ' $600 .
<br /> - - Main: 952-249-4600 � ' .
<br /> �� . �+ fax: 952-249-4616 - .: Renewal: $300
<br /> � �� � �Gti`� . Mailing Address: �� After-the-fact: $1,200 Double Fee
<br /> . 9.kESHO4`' 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 /> app�ication. Incomplete applications will not be placed on Planning Commission�Agendas. �
<br /> . ; PROPERTY INFORMATION: ' -
<br /> � : Site Address: �oS �lu��� Sk�.r� `�r �
<br /> Property Identification Number (PIN): J�1- 1t7 -2�-�i3-vtae� � ,
<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 propert : l�l Residential ❑ Other . - '
<br /> Zoning District: �_t t� .
<br /> APPLICANT INFORMATION: (Complete legal.names and marital status required for each interested party) � .
<br /> _ Name: _ - ���1„�rl� ���l�.el-� ih�. � 5�,,.., iM���s .
<br /> " Phone (home): `?sz-�82-�'�5oy � Fhone (work): �,,,�
<br /> Address: ��.z�s N<«,tC�ck �u� 5 �uv-�ns�r.t[� vkv�
<br />• Email: �,.ti.. H,..�2� �. k��.k�..�.k -�u�ld.:rs . e�. Fax: �Sz- �3(�- ?S�FS` .
<br /> OWNER INFORMATION: (Complete legal names and marital status required for each interested party)
<br /> Name: �r,.,.y 5� D�-{-{s-s�� SL�,.�� .
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<br /> Phone (home): . Phone (work): �
<br /> Add ress: __ `{2o S /��✓ �" S�orc �,�i ru . �
<br /> . EmaiL• � Fax:
<br /> DESCRIPTION OF REQUEST: � - � Estimated Project Cost: $ %,�Ipo,llva " ":�
<br /> Describe the request in detail (attach additional sheets if necessary): � �
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