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�o�� City of �rono <br /> � <br /> Variance Pre-Application <br /> y� G� Meeting Form <br /> t�KFSHOQ'4� <br /> {Thls form is to be completed by a City Planner during your pre-application meeting.) <br /> For Office Use Onfr . . <br /> C�ty Planner: Meeting DateRirne: , <br /> PC Date: Met with: <br /> Whaf ts the purpose of a pre-apptfaatlon meefingl <br /> Pre-application meetings aid the applicant in preparing a complete proposal, infoRn them of the procedures <br /> and requirements of the city code, and identtfy policies or regulations that create opportunitfes or problems <br /> for the proposal. <br /> PROPERTY INFORMATION: <br /> Site Address: ���i`, .� 'L <br /> P�operty identification Number{PIN): t -- 1 I -- 23 -- •- <br /> Zoning District: �j �C. _ Size of Property: 1.�°►x Ito�•�?�c )t 11� 5g <br /> �ESCRlPTION OF VARIANCE REQUEST: <br /> Average Setback ❑ Side Yard Setback �Rear Yard Setback C3,LakeJFront Yard Setback <br /> ❑ Hardcover Tier 1 ❑ Hardcover Tier 2 C7 Hardcover Tier 3 0 Hardcover Tier 4 <br /> ❑ Lot Coverage �Lot Area � Lot Width <br /> ❑ Other: <br /> Applicant's � PRACTICAL DIFFICULTIES: Owner and/or Applicant has received the Practical <br /> Initials: Diificulties Documentation Form, understands i� as it has been explained to them, <br /> Ovmer's G►:�� and Is aware that it must be completed and submitted in conjunction with thelr <br /> Initials: forrnal variance appiication. <br /> Applicant's � BILLS AND ESCROW: Owner and/or Applicant shall pay for consultant expenses <br /> Initials: incurred in review of this application and/or additional staff time not covered in initial <br /> Owner's .B application fee, as well as provide an escrow in the amount of $ z5D0 to <br /> Initials: guarantee payment of the above. <br /> OTHER INFORMATION: <br /> *Please note: Your variance application wilt NOT b accepted without a pre-application meeting during <br /> which this form will be complete by C�y staff. <br /> Applicant Signature: �" Date: ! � 1 <br /> Owner Signature: � e; � L RECE{VED <br /> _��� <br /> v�s„�,��� —,►� 16 SEP. 212016 <br /> Page 3 <br /> � � � � � CITY OF ORONO <br /> J <br />