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<br /> City of Orono �
<br /> Variance Application
<br /> Street Address: Application# ��j.����
<br /> �O� 2750 Kelley Parkway Dafe Received:
<br /> Orono, MN 55356
<br /> 0 0 Staff: �
<br /> Main: 952-249-4600 Fee: $700
<br /> � , � fax: 952-249-4616 Renewal: $350
<br /> ��,c, �ti`� Mailing Address: After-the-fact: $1,400 Double Fee
<br /> �`�kEs8o4`'� P.O. Box 66 Escrow Fee: $600/$2,500
<br /> Crystal Bay, MN 55323-0066
<br /> This appfication 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 INFORMATION:
<br /> Site Address: 3Z�'/ Gf1-S�a Gi?�� ��a, �(�/ SS,�°�/-9�/`�
<br /> Property Identification Number(PIN): Zo-i�_ z.� -� -ot,�--�
<br /> Date Froperty Acquired (month/year): t1 ❑ 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: w���-�✓� �/ [�oc.�.i
<br /> Phone (home): �i 2_��3_3 yi� Phone (work): ��2-3:�-p -zasa
<br /> Complete Address: .3y�� �.S�a c„��C
<br /> City, State &ZIP o,�,.�c, �-r� ss.�/-9�l'7
<br /> Email: ,�,,,J�c�s � m��si . e.�.-,-> Fax: l012- s�� -��'i�
<br /> OWNER INFORMATION: (Complete legal names and marital status required for each interested party)
<br /> Name: wic��r,-i � �o�� ,4�� G�z�,2A� v IGocN (�n��t-��n�
<br /> Phone (home): ,s,y,,,�- 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): l�j�
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<br /> � R�C�'���
<br /> - 12-
<br /> � JUL 19 2011
<br /> CITY OF ORONC�
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