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■ �'��� � <br /> - C�ty of OrQno <br /> . Variance App�i�atiori � � � . <br /> Sfreet Address: Application# ����� � ��/ <br /> � �� .2750 Kelley Parkway �Date Received: � Z j� U <br /> o O Orono, MN 55356 Amount P� i l — <br /> St'aff . <br /> � � + � Main: 952-249-4600 Fee: � $600 <br /> � ?� �+ � fax: 952-249-4616 Renewal: $300 <br /> � � After-the-fact: $1,200 Double Fee <br /> `� �;''j�`, <br /> ,�, ; �q„_ Gtit'' Malling Address: <br /> L`4�.ES�IO�� 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 Ehe <br /> application. Incomplete applications will not be placed on Planning Commission Agendas. <br /> PROPERTY INFORMATION: <br /> Site Address: ��b �l/D A.:T�f �� ��"' � � ��'-�'"� <br /> PropertyldentificationNumber (PIN): o�� -/I'7�Z3 -- �l�-t�0 /'� <br /> (Attach legal description to application if not included on the survey.) � . <br /> Date Property Acquired (month/ye.ar): � zao � ❑ Yes, I own the adjacent parcels. <br /> Present use of property: C] Residential � Other � <br /> Zoning District: . <br /> APPLICANT INFORMATION: (Complete le al names and marital status required for each interestecl party) .� , � <br /> Name: �t-e.7`ro �c� �c� � � • <br /> Phone (home): � Phone (work): �'7(0;� -S"� (� - ��� <br /> Address: y-"�� g �2'�` /� � a����n ccl,.v�e.�� iil J�`�[22 <br /> Email: '"i ,�'����ro�(dur �� . Fax: ��3 � S3 7 - d��l� � 2- <br /> OWNER I�dFORiUlATlO�{: (Complete legal names and marital status required for each interested party) <br /> Name: �;,����a n�� u�e�r�,� m�en- �ra L�C,.. � <br /> Phone (home): .Phone (work): <br /> Address: % � � �� �"o! �Jc�,•,�x.f�. ��PGu�. Yyli�v,e��'o/.� ,�/� --���o <br /> Email: � Fax: � <br /> D���CRIP1'!Q� OF REQU�ST: • . � � �� � Estimated Project Cost: $ �/ � <br /> . Describe the request in detail (attach additional sheets if necessary): ���? � <br /> , ,� -� �;�; <br /> �� ,w r, �`�- � r ' ,� - <br /> - TSJ�� .F T .. <br /> � �r � � <br /> f::5 r_s <br /> f .�/ t;; ,.C'"� <br /> . �� �� .✓j /..,i, -�� ,� r��"�-"'°' j��-0 .~ ,� <br /> . �ss,�.,^°-.K� �' . <br />