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. ' n� �. <br /> C�t�r of a ro � <br /> Varian�e Appl�cafiion . � . . <br /> Sfreet Address; Application# d�"325� <br /> ��� 2750 Kelley Parkway •Qate Received: /Z ZO _ <br /> Orono, MN 55356 Amount Paid: �(oC�CJ <br /> �, � . Staff: ��1�I�Q_ <br /> � Main: 952-249-4600 ' Fee: � $600 <br /> h a fax: 952-249-4616 �tenewal: $300 <br /> �,�, , �Gti�' Malling Address: After-the-fact: $1,200 Double Fee <br /> zy�,�s�o�,,� P.O. Box 66 <br /> 'Crystal Bay, MN 55323-0066 <br /> This application form must be completed in full. Applicant will be notlfied within 15 days as to the status of the <br /> apPlication. Incorn.plete app[ications will not be placed on Planning Commission Agendas, <br /> PROPEi�TY IN�ORMATI�N: � � <br /> Site Address; � 3 ��gt a� b� <br /> Property Identification Number P1N): b� !!7 3�� r�o /2 <br /> (Attach legal descripfion to application ff not included on the survey.} , <br /> � pate Property Acquired (month/year): � ❑ Yes, f own the adjacent parcels. <br /> Present use.of property: l$ Residential ❑ Other � � <br /> Zoning District: � . . � � . <br /> APP�ICANT INFORMA710N: (Complete legal names and rnariEal stat�s required for each interested party) � <br /> Name: L�4kE (�+.���c.+r i�u�� � <br /> Phone (home): �} . 1 ,���— s� Phone (work): �_..(.IZ . 310 • �ll..-r� <br /> Add ress �?`���� <br /> �mail: Fax: <br /> OWNER IN�ORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: �-��Y� � c.��+' ��' G.��r.�� s-� <br /> Phone �home): „(p12 . `g�7• 5��' � Phone (work); l�tZ�. 7��-:�959 � <br /> Address: � � � <br /> Email: ��hg .�r .a>��n - t� Fax: . <br /> DESCRIPTION OF REQUEST: Estimated Project Cost: $ <br /> . DescribE the request in detail (attach additional sheets if necessary): � <br /> �" �1' o <br /> w 1 l.� 12�vU+d u r t.� A� <br /> � ► i r..l wt � <br /> . � " /.S.r�;'iT, �'"i`''�k`�5`�'� FiL"' �-1�� � + . <br /> � �'4'� 43 ��:� ��• �� y } � ; ! <br /> y� C � � t ; f •� <br /> � ' fE:.�Y i�JC'iu � yil � vy ' f�::.'•• ' �f � ' . <br /> Y,r.. .'..'Jwrri.�/ [ ' /�.r::'�� •� '.�:.:i t r::' � 1 <br /> . ��•.�� 4-�ry `.'� f�"L....., �. is': ����/ ��'"�S'nC%"� ' . ! <br /> y:`��...�" � :K"'�'-� �`S.'u::cv � <br />