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�- C i ty of O ro n o P��h'brt A <br /> Variance Application � <br /> StreetAddress: Application# ���3 � <br /> ��� 2750 Kelley Parkway � Date Received:"��Z,....g (} � <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 /> ��t ���`� Mailing Address: ' � After-the-fact: $1,20D.J2ouble Fee <br /> 9,k�H�g P.C�. Box 66 e��.�, Z SOa <br /> Crystal Bay, MN 55323-0066 . t <br /> This application form must be completed in full. Applicant 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: <br /> Site Address: aa�4 SI-��dU wocad 1Zc�ar,L. � <br /> Property Identification Number (PIN): �►�_ //�- a3_ �� -a/a � � � <br /> . (Attach legal description to application if no included on the survey.) <br /> .:_ � Date Property Acquired (month/year): ����007 ❑ Yes, I own the adjacent parcels. <br /> Present use of property: C�Residential ❑ Other � <br /> � Y �Zoning District: L2 - I (_ - <br /> APPLICANT INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: �G�omaS Gt�c� C�.�4-�.���nc.. Z���/e� <br /> Phone (home): q 5a - 3 a - y 30 / Phone (work): 7o,-Y, ��a-��,� _ � // <br /> Complete Address: I '�) �C G-�n Ro� w (�Q zcc�e� ��1/ S 5 �} / � <br /> . Email: KwZ:cQ � -Par�,l�n�L'� .'�r° �- Fax: a - 93a - USac� <br /> . OWNER INFORMATION: (Complete legal names and marital status required for each interested party) S:v�,e. c��rc� <br /> Name: . <br /> Phone (home): � . Phone (work): � � <br /> Complete Address: . � <br /> Email: Fax: � <br /> DESCRIPTION OF REQUEST: � � Estimated Project Cost: $ �f,�C��p0 v <br /> Describe the request in detail (attach additiona�heets if necessary): <br /> _ �1 � � o�k4acG�a <br /> . .�. . � <br /> y� s�' <br /> t <br />