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c' , ' \ <br /> � C i t of O ro n o � . E��IT <br /> . y . . A <br /> Variance Application <br /> Street Address: Application# �� ��� <br /> �Q� 2750 Kelley Parkway � Date Received: — — ""� <br /> Orono, MN 55356 Amount Paid: °° <br /> O O Staff: is,e j N n ��� <br /> Main: 952-249-4600 Fee: $600 <br /> � �+ fax: 952-249-4616 , , Renewal: $300 <br /> �'�•� g'�G~F P.O/ox 66ress: After-the-fact: $1,200 Double Fee <br /> EsHO Crystal Bay, MN 55323-0066 <br /> This application form must be completed in full. Applicant wili be notified within 15 days as to the status of the <br /> app�ication. Incomplete applications will not be placed on Planning Commission Agendas. <br /> PROPERTY INFORMATION: <br /> Site Address: 252 3 �fcc ,- ,�vF��F � <br /> Property Identification Number (PIN): Zo_ii7_Z3,,,2_ oo,� g <br /> (Attach legal description to application if not included on the survey.) , <br /> Date Property Acquired (month/year): y. Z,DUD ❑ Yes, I own the adjacent parcels. <br /> Present use of property: �Residential ❑ Other - <br /> Zoning District: G,4 �B <br /> ������` <br /> ,�;..:: <br /> APPLICANT INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: p,eK ,o,►�,l r CBE.vJ�/� �J .scy <br /> Phone (home): �i2_��o _,�3�9 Phone (work): 7 — <br /> Complete Address: yA /yN. Di�/t��tlJ�'/FD /.��D�r�r1' 9�9i ca ,co=5a���.�-,�d,�a . rH.v ss,��3 <br /> Email: f�,s4�C�s'a,1,u s�. c�E,�., Fax: <br /> OWNER INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: ,rarn F <br /> Phone (home): Phone (work): <br /> Complete Address: <br /> Email: Fax: <br /> DESCRIPTION OF REQUEST: Estimated Project Cost: $ <br /> Describe the request in detail (attach additional sheets if necessary): <br /> FX s�a�v� .s� �x�fr�i.vG G�lKF1io� D Fr.� <br />