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<br /> �^�` Cit �o�f Orono ` ��. � � .
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<br /> � Variance A lic'ation �
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<br /> Street Address: � I Application#
<br /> �0� 2750 Kelley Parkway � Date Received:
<br /> O . O Orono, MN 55356 { Amount Paid:
<br /> � Staff:
<br /> • Main: 952-249-4600 � Fee: $600
<br /> fax: 952-249-4616 Renewal; $300 .
<br /> �� Gti`� ���°Mailing Address: � After-the-fact: $1,200 Double Fee
<br /> ��k'ESHO�'� P.O. Box 66
<br /> Crystal Bay, MN 55323-0066
<br /> This application form must 6e completed in full. Applicant will .be n tified_within 15 days as to the status of the
<br /> apptication. Incomplete applications witl not be placed on Planning Commission Agendas.
<br /> . PROPERTY INFORMATION: � {
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<br /> Site Address: 2�-e� �oy w� 'IZe, �x�,o� �;� � ss��l
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<br /> Property Identification Number (PIN): 2�_ ��� _ 23_ 3�-0003
<br /> (Attach legal description to application if not included on the survey.)
<br /> Date Property Acquired (month/year): ��g �3 ❑ Yes, I own the adjacent parcels.
<br /> Present use of property: '�Residential ❑ Other � .
<br /> Zoning District:
<br /> APPLICANT INFORMATION: (Complete legal.names and marital �tatus required for each interested party)
<br /> _..__._._N�ame:.._.._...L�_.C..�,.�rs�y.__." '�y���� . ,__�.__...�---�- . ;. ._..___.__-_.___�;;_.
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<br /> Phone (home): Phone (work): ��Z, q.�.¢. -�t 2,1
<br /> Complete Address: 33� �,,,,�. .�., , ' �,�,F,,,�,�# . I�,� 5�331
<br /> Email: ' . .
<br /> ., �,�4,�e-o.. � `�c.c. c�..�,-u 1�,;�,�.trs: �,... Fax: `�SZ. 11-'l4. ��5�-
<br /> OWNER INFORMATION: (Complete legal names and marital status required for each interested part
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<br /> Name: . �a.� Z►a.�+�,�.� �
<br /> Phone (hom`e): �-�� � . •� � Fhone (w+rk)�; f�E52. 4.�p, ����o �- �3q
<br /> Complete Address: Z-�.q� 4-..�.,�, �„�� �, Y �,��_". � 5����
<br /> Email: Fax:
<br /> DESCRIPTION OF REQUEST: Estimated Pro'ect Cost: $ O �.do
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<br /> Describe the requestr ir� d�,t '� h�ioional s eets if necessary):
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