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PC <br /> Exhibit A <br /> -V..01i4T City of Orono 17-3981 <br /> Variance Pre-Application <br /> tt‘ <br /> !� ' ' Meeting Form <br /> ESHO' <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: __ /n <br /> Site Address: 312.5 Cry&fa,/ $4.3R.D <br /> Property Identification Number(PIN): <br /> Zoning District: Size of Property: <br /> DESCRIPTION OF VARIANCE REQUEST: <br /> ❑ Average Setback 0 Side Yard Setback 0 Rear Yard Setback 0 Lake/Front Yard Setback <br /> ❑ Hardcover 0 Lot Coverage 0 Lot Area 0 Lot Width <br /> ❑ Other: <br /> Applicant's PRACTICAL DIFFICULTIES: Owner and/or Applicant has received the Practical <br /> Initials: Difficulties Documentation Form, understands it as it has been explained to them, and is <br /> Property tolc-v aware that it must be completed and submitted in conjunction with their formal variance <br /> Owner's application. <br /> Initials: i)sD <br /> Applicants KO BILLS AND ESCROW: Owner and/or Applicant shall pay for consultant expenses incurred <br /> Initials: in review of this application and/or additional staff time not covered in initial application fee, <br /> Property ./•d as well as provide an escrow in the amount of$ to guarantee payment of the <br /> Owner's fJ" 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 City staff. <br /> Applicant Signature: Date: <br /> Owner Signature: V'"' 4 Date: 9/i 11 17 <br /> RECEIVED <br /> 9 8 I <br /> SEP 2 0 2017 <br /> Variance Application—January 2017 � <br /> Page 3 =" <br /> CITY OF ORONO <br />