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�1�,t7f �r(T <br /> ._...........____._ __�C I t�/_Of�r0 Cl O.-.- � ..-___.-._ <br /> _ Variance Application . � � � <br /> StreetAddress: Application# �(o�_�oZ�� 7 <br /> ,�`Q �` 2750 Kelley Parkway �Date Received: � (p-/��-D (� � <br /> Y '�1�� Orono, MN 55356 Amount�����. 0`2� <br /> , � � 0 Staff: <br /> ;� Main: 952-249-4600 Fee: ��'$� f'p. <br /> � ! � � � fax: 952-249-4616 F2enewal: $300 <br /> � � � �Gti`� MailingAddress: . After-the-fact: $1,200 Double Fee <br /> �9kESHOg' P.O. Box 66 <br /> Crystai 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. lncomplete a_pplications will not be placed on Planning Commission Agendas. <br /> PROPERTY lNFORMATION: <br /> G .� , , <br /> Site Address: , ;r � , � � � � <br /> Property Identification Number (PIN): � � -- p - <br /> (Attach legal description to application if not include on the survey.} . . � <br /> Date Property Acquired (month/year): � �� ❑ Yes, I own the adjacent parcels. <br /> Present use of property: �Residential ❑ Other � � <br /> Zoning District: _ �. �?- i � � . <br /> APPLICANT lNFORMATtON: (Complete egal ames and marital status re ired for each interested party) <br /> , <br /> Name: v ^ Z..• � �.��(., <br /> Phone (home): - � ��^� � Phone (work): ° � r � r � • ��.... <br /> Address: � p • r,� � �� � ��-��-{�J <br /> Email: �.�" � � � ax: ' .1 r ;fr� - a�-' � <br /> S U 7�55�� a�i �(`�C,o tN� <br /> OWNER IN�F,�ORMATI�N: omple�e legal names�d marital status required for each interested party) <br /> Name: � � �' � <br /> Phone (home): � ��`� Phone.work): � -�� x 1v�� <br /> Address: ` _ � �j� ,,� � : � � �, <br /> Email: � � Fax: �,� -- <br /> �c� ��s�--lo c��� � ��5.� CoJ� <br /> �ESCRIPTIQN OF REQUEST: Estimated Project Cost: $ �� <br /> Describe the request in detail (attach additional sheets if necessary): <br /> > � � _ <br /> n <br /> �+ . � �C `- ; � ' � � � <br /> �� . 7 ' � � � � -� <br /> � � ' � C._ � �-� <br /> c <br /> ��Et �� `*.~':..,> ^�"1' �r::�°�•, :� 'i <br /> R?'\ j:' f'"' ,.a.,�i..,,.�. r <br /> . 2. . � C� A�:I �'� ��.�; '} � t'} W �}y. <br /> 41:n .. f. . , �Lt�' • <br /> � �/ �_ <<•••j J,i <br /> �� �� ti �J � V�T.� <br /> `��.-�f i �1 .�.::r.Y L._.� �°'7 <br />