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I <br /> �. 1 � I <br /> . ; �c •. A . . <br /> City of Orono <br /> Va ri a n c�e A i' ' � <br /> , pp ication <br /> StreetAddress: I� Application# �1 —��1 <br /> O��� 2750 Kelley Parkway Date Received: _ $•ZZ.(S( <br /> O Orono, MN 55356 I� Amount Paid:��Zpb.O� <br /> - Staff: <br /> Main: 952-249-460.0 Fee: $600- <br /> `� � fax: 952-249-4616� <br /> `� ti Renewal: $300 <br /> � p� . Mailing Address: � <br /> r '�' P.O. Box 66 --�After-the-fact: $1,200 Double Fee <br /> ����¢ . Crystal Bay, MN 55323-0066 . <br /> ll- . <br /> This application form must be completed in full. AI pplicant will 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: 1 <br /> Site Address: 7 7 y ��y/�� r,�� � �� . <br /> Property Identification Number (PIN): 0�'J + Il� " 2-3 � 34� q <br /> (Attach legal description to application if not included on the survey.) � <br /> Date Property Acquired (mon h/year): /o o.S'❑ Yes, I own the adjacent parcels. <br /> �Present use of.property: �Residential ❑i Other � � � � <br /> � Zoning District: . <br /> APPLICANT INFORMA�/ION' (Complete leg I+ames and marital status required for each interested party) <br /> Name: ��E v �/�ss�.�q f��s r c�-�� .�1''er��s- <br /> Phone (home): ,�-z -�,f7?. - s�-'���.. II Phone wo�k : <br /> � ( ) ���.�"—�i.�� <br /> �Complete Address: -3�� .�.��, � �„�.O �,� ,;�'�.-�.- �s°���` . <br /> � <br /> Email: c�.L..r°�.�'rl-�-�����C�s��-'-�. ��-�... Fax: '�.s�i .�.5'8` ,�i3/' <br /> � G <br /> OWNER INFORMATION: (Complete legal namil and marifal status required for each interested party) <br /> Name: ,�cr.,ry� i� , . . <br /> Phone (home): I� Phone (work): . � <br /> Complete Address: j� <br /> Email: I� Fax: � <br /> DESCRIPTION OF REQUEST: � , �II . Estimated Project Cost: $ �� . <br /> Des ibe the reque in detail attac ddifion�I eets if nec�ss�ry): <br /> ..a�,�-���'.-u�� <br /> i� ' � <br /> �� <br /> �� _ <br /> � f1 � <br /> ll � <br /> 11 <br /> �� . <br /> ,;.,_ ..__.. <br /> �, �u<,}� :� <br /> a . _�:,., � . <br /> t. .,; z t,. 'e. " , <br /> ' . -a. <br />