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� f, ' <br /> C'�"t �vt�A <br /> City of Orono <br /> � Variance Application � <br /> StreetAddress: � Appiicafion# ( t— ��� <br /> ��� 2750 Kelley Parkway Date Received: 'ZO / <br /> Orono, MN 55356 ����� C� <br /> 0 0 Staff: <br /> Main: 952-249-4600 Fee: $700 <br /> � �+ fax: 952-249-4616 Renewal: $350 <br /> �',�, GtiiS' MailingAddress: After-the-fact: $1,400 Double Fee <br /> �`��ESBO�'`'� P.O. Box 66 Escrow Fee: $600/$2,500 <br /> Crystal Bay, MN 55323-0066 <br /> This application form must be compfeted 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 INFORMATION: <br /> Site Address: '�j �3] ' G �Z-GI--� <br /> Property Identification Number(PIN): � — �! �a <br /> Date Property Acquired (month/year): O-"7 t O ❑ Yes, I own the adjacent parcels. <br /> Zoning District: <br /> APPLICANT INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: '�pt--(V11 ���� , �1 r�IG�,l�t <br /> Phone (home): �p � a� I °I'' ��f 2� Phone (work): �5a-- �1 a a�-�O�� <br /> Complete Address: ��� l C'J��i� G 1��t.� <br /> City, State &ZIP t�10 • <br /> Email: �"Gl,v,r�i ���r��ir— Y�CA� , C.o✓�r� Fax: <br /> GDI�y' �v- �� k-Qi <br /> OWNER INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: ��-� � <br /> Phone (home): Phone (work): <br /> Complete Address: <br /> City, State &ZIP <br /> EmaiL Fax: <br /> DESCRIPTION OF REQUEST: � <br /> Describe the request in detail (attach additional sheets if necessary): <br /> �� �'��(�-� <br /> � ...PS+������1 <br /> .� <br /> ,.�-rv nF ORON� <br /> - 12- <br />