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ClTY 4F QRON� PC�hibitA <br /> VARIANCE APPLICATION <br /> ���ti Stneef Address: Application# f��7 Q Q <br /> J�.��j \ 2750 Keiley Parlcway Date Received: _ <br /> / •� � Orono, MN 55356 �►�1�5 <br /> , Staff <br /> � Main_ 952-249-�4600 Fee: $7p� <br /> ��. � � - � � � � fax: 952-249�616 Renewal: $350 <br /> \ i � Mailing Address: <br /> L / After-the-fact: $1,400 Double Fee <br /> ..,!1,���.`.i���j� P.O. 8ox 66 Escrow Fee: $7001$2,500 .- <br /> _ ____ Crystal Bay, MN 55323-00B6 � (p�g� <br /> �This application form must be comple#ed in full. Applicant will be notified within '15 days as to the status of the <br /> ,�pplication. Incomplete applications will not be placed on Ptanning Commission Agendas. <br /> PROPERTY INFORMATfON: <br /> Site Address: ��(�,� ����,�(�s ,J� <br /> Property Identification Number{P1N}: � ' - <br /> Date Property Acquired {month/year): s' � Yes, i own the adjacen# parcels. <br /> Zoning District: <br /> APPLICANT INFORMATION: (Complete legai names and marital status required for each interested party) <br /> Name: �, 1 �y <br /> �.P� ; . <br /> Phone: p. � lternate Phone: <br /> Complete Address: �'Z/Z L�iro��,� C,;,, ,�/, <br /> City, St�te & ZIP - �� ��� `'„��Z� - <br /> Email: f"i��dq/�.- sr>S"!9' <br /> -�T ('ol�� . _ FaX: �, :G�plJ� <br /> 4WNER INFORM�kT ON: (Corr�piete legal nemes and maritaf status required for each interested party) <br /> IVame:. - <br /> i <br /> Phone , Alternate Phone: � , Z <br /> Complete Address: � � �,� <br /> city, state&z�p r ` �„�9� <br /> Email: tfi�h��r� C"' ' <br /> �� � Fax: <br /> DESCREPTION OF REQUEST: <br /> Describe the request in detaii (attach additional sheets if necessary): - <br /> r�� � �C i� /- s G � <br /> _ c s � <br /> -- � S' ," ' - <br /> — L� <br /> _ ' i5 <br /> PacketLasf Updated: August2015 ClTY OF ORONO <br /> Page 11 � � � �� <br />