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� <br /> � �� " �L. �n��b��- Kl <br /> ,. .. <br /> . � �;C�i ty �of �O ro�n o <br /> V.a;ri:a.n�ce Ap:p l i cati o�n <br /> :Stceet;4ddress: � Application<# � 'L��?j�/� <br /> �'�� 2750 Kelley P.arkway Date Received: ��y./� � <br /> Orono, MN 5b356 _ <br /> � _ � ; �` - Staff: � <br /> - Main: 952-249=4600 � Fee: $700 <br /> fax: 952-249-4616 � RenewaL $350 <br /> � �� , ` G�`� - � IVlalling Address.� After-the-fact: '$1,400 doubfefee <br /> �`�`Esxog'� P:O. Box:66 fsccow Fee: <br /> . Crystal Bay, MN 5.5323-0066 � $2,500 new home/addition% <br /> - new.structure <br /> . $ 600 other variance <br /> This'�application form must,be completed in full. Applicant v►iill be notified within 15 days as to�the:status of the � <br /> application,, :lncomplete applications will not:be�placed on°Planning Commission:Agendas. <br /> PROP.ERTY INFORIVIATION: � (��� . . . <br /> Site Address: . � �G�� .,y�� ;. - <br /> Property Identification Number(PIN): � , • � <br /> : �Date Property Acguired (month/year): �� ❑ Yes, l own the adjacent parcels. <br /> . :Zoning District: . :, /�rC -;� <br /> � APPLICANT INFORMA : (Com I t leg I name d�m����f'ital status�required fo each intecested party) <br /> �Name: . � �� c=� Eh0 � %"�L� L�. � �`''� _ , <br /> ; Phone:(home): ', � - - ,. � P one (work): �Z - : � � <br /> � .Complete Address o�� n� . <br /> City,.State & ZIP .4- :,;;�9✓ <br /> � -EmaiL• : 0�3'� . iLC�S's�, i+�l Fax: � . <br /> � OWNER INF.ORMATIO (Gomplete legal name marita status required for ach interested party) <br /> ' Name: � .� ,_ � - �.� �� � • /l>��4�'Z� (�'`� <br /> Phone (home); .. . Phone (wock): <br /> -Complete Adclress: . <br /> City,��State &ZI P . <br /> ,Email: , ;Fax: <br /> . D:ESCRIPTION OF REQUEST: <br /> 'Desccibe"the reguest in detail (attach additional sheets if necessary): <br /> � 67.��1. <br /> n i ni,��� 2�.09 <br /> � . C�TI( OF OROFVO <br /> Last Updated: 5/1'1/2009 � <br />