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.� . ��/�LJ G�.'i"� <br /> City of Orono <br /> Variance Application <br /> Street Address: Application# �� —���- <br /> ��Q 2750 Kelley Parkway Date Received: �'Z, -(, <br /> � Orono, MN 55356 /� ��� <br /> O � Staff: l�rv 1 <br /> Main: 952-249-4600 Fee: $700 <br /> fax: 952-249-4616 <br /> � ti Renewal: $350 <br /> � �� Nlailing Address: <br /> - l � After-the-fact: $1,400 (double fee) <br /> `�EsHO4 P:O.Box:66 <br /> � Crystal Bay,,MN 55323-0066 Escrow Fee: <br /> ✓$2,500 new home'/addition-/ <br /> new structure <br /> $ 600 othervariance , <br /> This,application form must be completed in full.'�Applicant will be notified within '15 days as to the status of#he <br /> application. lncomplete:applications will not be placed on Plannin.g°Commission Agendas. . <br /> ' ,P.ROPERTY INFO'RMATION: ' - , � . - �- <br /> � �Site Address: j�j g5 ;.�' �:�5� �cw-t '�o�,� �.��,:,.G : � ` <br /> �-, �J sS3 S� <br /> Property Identification:Number•(PIN)• ��-ll7- ;�}�-/�-Da�� . <br /> Date;Property Acquired (month/year): . � ❑ Yes, l own the adjacent:parcels. <br /> Zoning District: � <br /> - , , , <br /> APPLICANT INFORMATION:��'(Complete legal�names and marital status.required for each interested party) <br /> Name: ;v✓l,,-��...�1 C,.�(l�- c'�;Ks-1�.����o�, sw� � . <br /> ; :Phone (home): `g�5�.-4�6-�s-� ; ' Phone (wock): �r�-�o r- 5'7 9 .� <br /> ' �omplete,Address: �,3oc� ��.:(.�, i4,,.� . <br /> CitY, State .&:ZI P � . �.e,��.� ..Y.� Ss 3z.� ,. � . <br /> Email: c�-�al�ws=@w,_:c4 s�_. �ow, . Fax. ��3 -�7z�-Zt3 � <br /> OWNER 1NFO.R AT�1ON: (Comple e legal names and marital status required for each interested.parEy)� � <br /> , � r7"� <br /> Name: . �, rv o�.-�f i4�i`S S �.i�6 , _ <br /> Phone (home): -�3f 'a��(-� °� Phone work : 2 . -3 <br /> ( ) �3 0�(�6 �.'z39` <br /> CompleteAddress: �y�� � ;GG�o( /}�„�c f�o� ' <br /> City,;State & ZIP �w., uR�.;� C�} . �3 fd .. <br /> Email: ` - /N1 ��.�(�S � �C�c.R:ed�+. co�' Fax: � � � Y�.-��-f f� <br /> DESCRIPTION OF REQUEST.: � <br /> Describe#he request in detail (attach additional sheets if necessary): �,��,U,�.,e .�,��5,�;� �`�� <br /> a� �m.�.=�., �,t � �f� w-S-S-t, '�,.� 5�-�-u..`-IuJ� =�-L � .S- � <br /> � � � , 1 � �.QI�,,a -�-t�� �S-/ �� <br /> _� r���� _ jl,.1G�.:? �✓Vrti4�'�� V '^UiA.�� f/Lf'F L .r�eU G-C'' --C.�' �Q� 5� a h . <br /> Z--L CL^itC �� <br /> � .�� <br /> . �YJ��O fe� � . <br /> Last Updated: 5/11/2009 ;� :`�� JUL 2 2010 <br /> . � <br /> �� ���"`�'�F C)F����Q; <br />