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1 � h r <br /> . Itent#11-CC.Agenda-12/11/06 <br /> File#06-3234/35[Tota/Pages 94J <br /> . <br /> ._._...:.... _ -- ---C i t_y_o_f_4 r_o n o _---____�_._ <br /> . ''V'ariance Application . � � <br /> StreetAddress: Application# �(J�`�Z� <br /> �� ,�` 2750 Kelley Parkway � �Date Received� Gf <br /> '�1�� Orono, MN 55356 Amount Pa'd: -� <br /> 0,.e" � St�afF: �: <br /> Main: 952-249-4600 Fee: $600 � � <br /> � � �� �,.r � fax: 952-249-4616 Renewal: $300 <br /> �`� � ��, �ti`� MailingAddress: After-the-fact: $1,200 Double Fe� <br /> L`�k'ESxo�`'� P.O:Box 66 . <br /> Crystal Bay, MN 55323-0066 � <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 piaced on Planning Commission Agendas. � <br /> PROPERTY INFORMATION: � <br /> �ite Address: �7��1 f�D���� 5�/�(�'� �1�� � � <br /> �roperty fdentification Number (PIN): <br /> (Attach legal description to application if not included on the survey.) . <br /> �ate Property Acquired (month/year): ❑ Yes, I own the adjacent parcels. <br /> Present use of property: � Residential ❑ Other � � <br /> �Loning District; (� j /� . <br /> APPLICANT INFORMATIO : (Complete le�I names�'d marital status re uired for each interested party) <br /> Name:��,�,v.� / ��s��.�ee �'�Ls. '�/�-ss,�u-,�cc � �����,���.v7` C'o.zP <br /> Phone (home): y.�"2-y�z-a�yz � Phone (work : Qs2- ��'y-o�-G <br /> Address: y/6s�" !o`�,;,r,� �, �30 ,►,�„ �riert�/y,y �S�3�'y <br /> � Email: ��,....k� . �a,� .Fax: �Sz -Y7/-5�ys � <br /> OWNER IN ORMATION: (Corriplete gal names an�arital sta s required for each interested party) <br /> Name: �� � <br /> Phone (home): �..�- Phone (work): S�.�- � <br /> Address: S�.-•-_-- <br /> Email: .S c�...�.� Fax: �� <br /> DESCRIPTION OF REQUEST: Estimated Project Cost: $ <br /> De�ribe t request in detail (attach a itional sheets if essary): _ <br /> ,..� �,� o�-� <br /> � .�� <br /> ` ��� i <br /> a'-�- . <br /> � , ' f � <br /> � � . <br /> //,/� \ � <br /> /�j � -�, tE��, "�'t�'s1� .....,�y ijla r.y�. <br /> �""�aY';fY,.�"�y7 �' ,;;� `',�y ���{��%a[}N �e� ���� .;.�'=d.';iiA, <br /> �:[,s �)yr.ta � tt. �rl��✓'" '�i.� 7C` <br /> /��7j c^r. �1 Yi'� -'�..`,fi �J <br /> ��Li7 ��t~.��~�� �l�r"T���t(,a.'' l9;�7�'��� ���,.. <br /> ` �..�.��• <br />