Laserfiche WebLink
� QG ��� CT,4 <br /> City of Orono <br /> Variance Application _ <br /> Street Address: Appfication# i� '' �"�-1 <br /> /��� \\ 2750 Kelley Parkway Date Received: 5� �.�.�-�p <br /> '�V � Orono, MN 55356 <br /> ;rf O °`�.,. O tii Staff: �--� <br /> Main: 952-249-4600 <br /> €� '"� 1 ;� � Fee: $700 <br /> ��� ,i� i��^��- ��1 fax: 952-249-4616 Renewal: $350 <br /> �'�9��4��'~� P.Ot/Box 66ress: . After-the-fact: �1.400(double fee} <br /> Ic'�go¢� Escrow Fee: <br /> Crystal Bay. MN 55323-0066 �2,500 new home/addition/ <br /> � new structure <br /> $ 600 other variance <br /> - This application form must be completed in full. Applicant will be notified within 15 days as to the status of the <br /> application. Incomplete applications will not be placed on Planning Commission Agendas. <br /> PROPERTY INF�RMATION: , <br /> Site Address: L � � <br /> Property Identification Number(PIN): ���,/I ? ,�� l[, d p 2 <br />, Date Property Acquired (month/year): ❑ Yes, I own the adjacent parcels. <br /> Zoning District: . <br /> APPLICANT INFORMATION: (Complete (egal names and marital status required for each interested party) <br /> Name: Ql' /L � <br /> Phone (home): 7 Phone (work): 7 <br /> Complete Address: � <br /> City, State &ZIP <br /> Email: T.�p ► ^�'''�^�� r� Fax: -zL '� �'-7/ / '? �"' <br /> —r 6�-�Tj--7-e C4� <br /> OWNER INFORMATION: (Co pl e legal n mes and marital status required for each interested party) <br /> Name: � /� /� <br /> Phone(home): c Phone (work): <br /> Complete Address: <br /> City, State & ZIP c. <br /> Email: or�Z � � —.-v�,�-�r �r- Fax: ?63 �7�- 68'3 S-"'— <br /> OESCRIPTION OF REQUEST: <br /> Describe the request in detail (attach additional sheets if necessary): � <br /> !✓Q ` <br /> ✓�P /' D C. <br /> Last Updaled: 10/16/2009 <br /> ����0 Y�� <br /> . MAY 14 2010 <br /> � CITY OF ORONO <br />