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City of Orono Variance Pre -Application Meeting Form (This form is to be completed by a City Planner during your pre -application meeting.) For Office Use Only City Planner Meeting Date/Time � PC Date _ Met with What is the purpose of a pre -application meeting? Pre -application meetings aid the applicant in preparing a complete proposal, inform them of the procedures and requirements of the city code, and identify policies or regulations that create opportunities or problems for the proposal. PROPERTY INFORMATION- Site 1J �� - M,® Site Address: f'[ A& Property Identification � umber (PIN): ` Zoning District: �f�, W Size of Property: DESCRIPTION OF VARIANCE REQUEST: ❑ Average Setback ❑ Side Yard Setback ❑ Rear Yard Setback ,�LakFront Yard Setback ❑ Hardcover Tier 1 ❑ Hardcover Tier 2 11 Hardcover Tier 3 ❑ Hardcover ler ❑ Lot Coverage ❑ Lot Area ❑ Lot Width 'V'f11 rl�her• Applicant's PRACTICAL DIFFICULTIES: Owner and/or Applicant has received the Practical Initials: Difficulties Documentation Form, understands it as it has been explained to them, and is aware that it must be completed and submitted in conjunction with their Owner's Initials: formal variance application. Applicant's BILLS AND ESCROW: Owner and/or Applicant shall pay for consultant expenses Initials: I incurred in review of this application and/or additional staff time not covered in initial application fee, as well as provide an escrow in the amount of $ to Owner's Initials: guarantee payment of the above. OTHER INFORMATION: *Please note: Your variance application will NOT be accepted without a pre -application meeting during which this form will be cam le by City staff. Applicant Signature: Gid Date: Owner Signature: y �1'`' Date: � f � ��' RECEIVED Variance Appllcatfon — May 2016 Page 3 SEP 21, ?W 3869 UTY OF ORONO