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�o�o City of Orono <br /> � � <br /> Variance Pre-Appiication <br /> y� � Meeting Form <br /> G <br /> `�xESHOa� <br /> (This fonn is to be completed by a City Planner during your pre-application meeting.) <br /> For Office Use Onl� " <br /> City Planner __�. Meeting Date/Time <br /> i PC Date Met with ,`�j� <br /> P <br /> Whai fs the purpose of a pre-applicatian meeting? <br /> Pre-applicafion meetings aid the applicant in preparing a complete proposal, inform them of the procedures <br /> and requirements of the city code, and identify po(icies or regulations that create opportunities or problems <br /> for the p�oposal. <br /> PRQPERTY INFORMATION: �D /���r��1 �'��`V <br /> Site Address: �, <br /> Property Identification umber (PIN): � <br /> Zoning District: �� � Size of Property: <br /> _�_�_. <br /> DESCRIPTION OF VARIANCE REQUEST: --� <br /> ❑ Average Setback � Side Yard Setback ❑ Rear Yard Setback ,�Lak�/Front Yard Setback � <br /> ❑ Hardcovec Tier 1 ❑ Hardcover TRer 2 ❑ Hardcover Tier 3 � Hardcove`rTier 4 <br /> 0 Lot Coverage ❑ Lot Area ❑ Lot Width <br /> �Other: � <br /> Applicant's PRACTICAL DIFFICULTIES: Owner and/or App(icant has received the Practical <br /> Initials: Di�culties Documentation Form, understands it as it has been explained to them, <br /> Owner's and is aware that� it must be compieted and submitted in conjunction with their <br /> Initials: formal variance application. <br /> Applicant's BIL�S AND ESCROW: Owner and/or Applicant shall pay for consultant expenses <br /> Initials: incurred in review of ti�is application and/or additional staff time not covered in initial <br /> OwnePs application fee, as well as provide an escrow in the amount of $ to <br /> Initials: guarantee payment of the above. <br /> OTHER 1NFORMATION: <br /> *Please note: Your variance application will NOT be accepted without a pre-application meeting during <br /> which this form will be com le by Ci staff. <br /> Appllcant Slgnature: G� �" S�� pa�; � r l� '�So <br /> Owner Signature: � / 1� ���� Date: �� ���� <br /> �������� <br /> Veriance,4pplicatlon—May 2016 <br /> Peye 3 ^[.F; '� 9 `f,1'n <br /> � _ �_ . . <br /> 3 b ��TY OF�RONO <br /> # 8 9 _ <br />