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�ity or �rono <br /> '� t � <br /> Variance Application <br /> � Streef Address: � Application# �p•,��y� <br /> ��� 2750 Kelley Parkway Date Received: p�-1�p �v <br /> Orono, MN 55356 Amount Paid: (pUG.O� <br /> � � 0 ` Staff: GG f//t?.�u n i�f r�.e..,�° <br /> � ��, Main: 952-249-4600 Fee: $600 <br /> � ' �i"�;�y � fax: 952-249-4616 Renewal: $300 <br /> ��,��� y��� �ti�' MailingAddress: After-the-fact: $1,200 Double Fee <br /> Esx � 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 the <br /> application. lncomplete applications will not be placed on Planning Commission Agendas. <br /> PROPERTY INFORMATION: <br /> Site Address: �1t� �.Iv.r�-I, Sko.r� `�:- � <br /> Property Identification Number (PIN): ��� it"� �2�,-�j3-�t�c�{- <br /> (Attach legal description to application if not included on the survey.) � <br /> Date Property Acquired (month/year): ❑ Yes, I own the adjacent parcels. � <br /> Present use of property: l�l Residential 0 Other <br /> Zoning District: �-[ l� <br /> APPLICANT INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: H�r(.1jn�,�nnf�c ���t��.�'s �v�c.. ��tU-. ��;,L2,V�5 _ <br /> Phone (home): �Sz-�;p,z_ �,�,c,� Phone (work): �,,,� <br /> Address: !2?,��- ��!<«,tl�.c�- �.u� 5 P�����'�ns��tt� vwznf <br /> Email: �,.,�.: ��.µQw� �. k�,l���„Ic - ��«(�(�f�� . cc�,,� Fax: 95z-- `7iC,� 7S�FS' <br /> OWNER INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: iMc�,.y �U }�.�•�-.cs-s�.��� ��.�w��. <br /> Phone (home): Phone (work): <br /> Address: �2v5 A�vs � ��ort 0�°�.�r�t <br /> Email: � Fax: <br /> DESCRIPTION OF REQUEST: Estimated Project Cost: $ %,�i�p,dc�U � <br /> Describe the request in detail (attach additional sheets if necessary): <br /> Sr e !��'�acl.�.c� �,e�s <br /> � � }�'� �,�s`�� <br /> �, <br /> . � iLs � �f' y�,.1 t �: .'f-� �� � ��� M,=i � <br /> � C� � �a� '.� "� � � .,.s�. ` ��� . <br /> . � �,jy=t-"'' �. � � .�� 9: � <br /> f , q . <br /> I�„ � 1 � 11 '' �+c. f% <br /> � ..... . . ' . (.����y,f.�'-u i.I ��� ��,,�..::t# �"i��v� •tl .... <br /> � . FJ �'J . �...�....F�f C . <br />