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qtr of Orono _ Variance Pre -Application W esti p. Form s �+ (This farm is to be completed by a City Planner during your pro-Wfi cation meeting.) For Qt`u:e Only: City Punnet: Meoung Datefrkme, PC Cate; Met with: What is the purpose of a. pm -app Ration nmfi g2 Pre -application meetings aid the applicant in preparing a complete proposal, Inform them of the procedures and requirements of the ft coda, and identify policies or regulations that create opportunities or problems for the proposal. PROPERTY INFORMATION: Site Address: 3333 SHORELINE DRIVE Property Identification Number (PIN): 20-117.23-11-41124 Zonings District: M SiZe of Property: 2.64 DESCRIPTION OF VARIANCE REQUEST - 11 Average Setback 0 Side Yawl Setback ❑ Rear Yana Setback I] LakelFront Yard Setback • Hardcover Tier 1 ❑ Hardcover Tier 2 13 Hardcover Tier 3 CI Hardcover Tier 4 • Lot Coverage C! Lot Area 0 Lot Width 0 Other: Applicant's PRACTICAL DIFFICULTIES: Owner andfor Applicant has received the Practical Initials: Difficuitaes Documentation Form, understands It as it has been explained to them, and is aware that it must be oompleted 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 lnitWs; incurred in review of this application and/or additional staff tlrne not covered In Initia I application fee, as well as provide an escrow in the amount of $ to Owner's T��Iguarantee Initials: payment of the above. 'Please rote: Your variance application will NOT be accepted without a pre -application meeting during which this form will be completed b CC tafr. Ip, Applicant Si naWre: D r /�f �p A cats Ownrar Signature: Gate: r 9 RECEIVED ftionee Appli mom - Alay WIG pap.1 # 3879 OCT 14 2016 'CITY OF ORONO