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0 <br /> st.oko City of Orono <br /> Variance Pre-Application <br /> ti��k S?J MForm <br /> fSH� Meeting <br /> (This form is to be completed by a City Planner during your pre-application meeting.) <br /> For Office Use Only: <br /> City Planner: _ Meeting Date/Time: <br /> PC Date: Met with: <br /> What is the purpose of a pre-application meeting? <br /> Pre-application meetings aid the applicant in preparing a complete proposal, inform them of the procedures and <br /> requirements of the city code,and identify policies or regulations that create opportunities or problems for the proposal. <br /> PROPERTY INFORMATION: <br /> Site Address: (72-07 ex 4T) .lD <br /> Property Identification Number(PIN): 11 H ?-'&2. ,c>,)ICC <br /> Zoning District: LR,-.t -.. Size of Property: 12..x( -q 0 ,2_9 A4saega <br /> DESCRIPTION OF VARIANCE REQUEST: <br /> O Average Setback 0 Side Yard Setback 0 Rear Yard Setback 0 Lake/Front Yard Setback <br /> Hardcover 0 Lot Coverage 4,18:1.ot Area XLot Width <br /> O Other. <br /> Applicant's PRACTICAL DIFFICULTIES: Owner and/or Applicant has received the Practical <br /> Initials: Difficulties Documentation Form, understands it as it has been e <br /> Property explained to them, and is <br /> p y aware that it must be completed and submitted in conjunction with their formal variance <br /> Owner's application. <br /> Initials: <br /> Applicants BILLS AND ESCROW: Owner and/or Applicant shall pay for consultant expenses incurred <br /> Initials: in review of this application and/or additional staff time not covered in initial application fee, <br /> Property as well as provide an escrow in the amount of 0130 to guarantee payment of the <br /> Owner's above. <br /> initials: <br /> OTHER INFORMATION: <br /> *Please note: Your variance application will NOT be accepted without a pre-application meeting during which this <br /> form will be completed by C' s%ff. <br /> Applicant Signature. ''IM L ilii dbkDate: glt-6-P <br /> X' Owner Signature: ..�_ Date: I//13.9 <br /> RECEIVED <br /> Variance Application-January 2017SEP 2 0 2017 <br /> Page 3 ¶ 3978 <br /> CITY OF ORONO <br />