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E�IIBIT <br /> .. �ity of 4r�no A <br /> �/'ariance Appli���ron . .. � . <br /> � SfreetAddress: . Application # d7-��c%� <br /> �`�� 2750 Kelley Parkway �Date Received: � <br /> �y— O Orono, MN 55356 Amount Paid: U � CU� <br /> Sfaff: <br /> � ��,�� Main: 952-249-4600 Fee: $600 <br /> ,� F �+�'r``;��. � fax: 952-249-4616 Renewal: $300 <br /> '�,�, , ��µyq„ Gtiti Mailing Address: After-the-fact: $�,200 Double Fee <br /> �`��'ESH�� P.O. Box 66 - <br /> Crystai Bay, MN 55323-0066 , <br /> This application form must be completed in full, Applicant will be notified within 15 days as to the status of the <br /> appiication. lncompiete appiications will not be placed on Planning Commission Agendas. <br /> PROPERTY INFORMATION: ' <br /> Site Address: '�� 0 �r'f'� ���-� � . <br /> �roperty Identification Number (PIN): a- � � <br /> (Attach legal description to application if not i. cluded on the survey.) . � , <br /> Date Property Acquired (month/year): /(� ❑ Yes, I own the adjacent parcels. <br /> Present use of property: �Residential ❑ Other ' <br /> Zoning District: � �. � �. � , . . <br /> APPLICANT INFORMATION: (Complete legal names and marital status requlred for each interested party) � . � <br /> Name: )v��e s Mc�,�-�t-� r► so -� � <br /> Phone (home): �',$ z y - �G � �/ Phone (work): ��� l � � �o ( �/�l 7 <br /> Address: �S'S6 J3r��� v,e� �r� ��,o� C�c�-.� � v� S�� 3 7 �-- __ <br /> Email: Trv�itrr,nso� �.��' /�� �v� Fax: <br /> OWNER I�IF03�MATlON: (Complete legal names and marital status required for each interested party) <br /> Name: �c�w� a5' ���vn �t�ct� �'l�v�t«san wr��'�e . <br /> Phone (home): Phone (work): � � � 3 F� � -�� Y �/ <br /> Address: � a � R S� 4� � �' � � <br /> Email: � Fax: <br /> DE�CRIPTIOiV OF REQUEST': Estimated Project Cost: $ �j���, O�l d <br /> Describe the request in detail (attach additional sheets if necessary): � <br /> f�l P�s v��P 5 7` ✓�d'r u n C'�t �""� I�7't 1'Y�/h r rv��,v1� l'e q u.t r e n-�e:aL" v� � r��.✓' � : <br /> � �;�=-"��, .a ', <br /> � ��,,�;,:; ,c <br />. � ���' �„ `"�%^�'�,` �.'''•: L.;1 �r k . <br /> t �" f' �1 (.r �r .a:' ;��� c �y <br /> �+"{:ii��'t..J �+`v�;}1 ,t�°, ;� t.� ', �,j , <br /> �1 �/'� (�"., �..�y 4.�,�, l4�i `'V:,P..�y C;,� �v.."'A <br /> C,_ GJ x �r �i �t-i�..;: <br /> � �'.�i:^'�_::-r- <br />