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<br /> Variance Application
<br /> StreetAddress: Application#�� -�'�r t�
<br /> �Q� 2750 Kelley Parkway Date Received: �
<br /> Orono, MN 55356 Amount Paid: �(n�0
<br /> O'��� O Staff: ��-�
<br /> a Main: 952-249-4600 Fee: $600
<br /> '� {' , �+ fax: 952-249-4616
<br /> �� � pti� Mailing Address: Renewal: $300
<br /> �9g� " ��' P.O. Box 66 After-the-fact: $1,200 Double Fee
<br /> EsHO 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 /> application. Incomplete applications will not be p(aced on Planning Commission Agendas.
<br /> PROPERTY INFOR TION: df��°+p
<br /> Site Addr � � ' � �, %
<br /> ess: �� G� �;��.�i�f�°����.�t� �?;�..tt�., ���c�.F�:°��..?�;;. .�5,��t
<br /> Property Identification Number (PIN): f
<br /> (Attach legal description to application if not included on the survey.)
<br /> Date Property Acquired (month/year): 1� f q�(v ❑ Yes, I own the adjacent parcels.
<br /> Present use of property: f�Residential ° ❑ Other
<br /> Zoning District:
<br /> APPLICANT INFORMATION: (Complete legal names and marital status required for each interested party)
<br /> Name: ��
<br /> �.�-�i�r �v�'t.t�� ����. ;�a�r'�'6! ��t�1�'-�t�!�
<br /> Phone (home)• �`raf�•���1 a �������`f Phone (work): �:,��,� 't;�r�"rfr` r �''f���`f
<br /> Address: ���'�1 Bc���E'�'��:-�r.. �'�'��?. ,.y�tc:l°�t. � ����``f� .:1���'�1
<br /> Email: ��.�rra�� '�D�n t�} �1w�t�l � �Rt�7�hl at����� Fax:
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<br /> OWNER INFORMATION: (Complete legal names and marital status required for each interested party)
<br /> Name: �,�1.'rr•.:�r7 .vn_r7.5 �,�,�t - �i�1C�rl�� �'1id�..�"1� - Sini'lz
<br /> Phone (home): (,��}l,���.- r,�c����°j Phone work . �
<br /> Address: ���'P,� �n�,��;� P��d� !�#���t�. ) ' � )' f.cl:7� l�r/~ �?, ��/
<br /> Email: � 6 ��.v��.�rl ����� ,�.�..'��� �r I
<br /> '� ;,r► !!n �'t1G>b �'� h�l C1J�� �'[.�I� � Fax:
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<br /> DESCRfPTION OF REQUEST: Estimated Project Cost: $ /pl��r
<br /> Describe the request in detail (attach additional sheets if necessary):
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