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<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 ��
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<br /> Last Updated: 5/11/2009 ;� :`�� JUL 2 2010
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