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Name: <br />Phone <br />CITY OF ORONO <br />VARIANCE APPLICATION <br />Street Address: Application # 1 714 <br />2750 Kelley Parkway Date Received: 0 <br />Q Orono, MN 55356 — <br />Main: 952-249-4600 Staff � N <br />fax: 952-249-4616 Fee: $700 <br />Mailing Address: Renewal: $350 <br />P.O. Box 66 After -the -fact: $1,400 Double Fee <br />Crystal Bay, MN 55323-0066 Escrow Fee: $700 / $2,500 <br />This application form must be completed in full. Applicant will be noted within 15 days as to the status of the <br />application. Incomplete applications will not be placed on Planning Commission Agendas. <br />PROPERTY INFORMATION: <br />Site Address: 11] f <br />Property Identification Number (PIN): <br />Date Property Acquired (monthlyear): <br />Zoning District: <br />I 1 0--1V-7 — 7Z132— Z2-- 00a:?-) <br />r7�o1 Yes, I own the adjacent parcels. <br />APPLICANT INFORMATION: (Complete legal names and marital status rep <br />Name: Elm L =L l <br />Phone: <br />Complete, <br />City, State <br />Email: e-�-r tir i iP � 'pad` ��7r1n-8K4�Fax: � rJ "� :. <br />bv gui <br />RMATION: (Complete legal names and marital status required for each interested party) <br />I1T�' t A NA A - . � - A e � _ —if _ . t <br />for each <br />party) <br />ZIP <br />Complete Addre: <br />City, State & ZIP <br />Email: <br />Alternate <br />- 3 25, O AItemate Phone; <br />M. rri <br />DESCRIPTION OF REQUEST: <br />Describe the request in detail (attach additional sheets if <br />Packet Last Updated: August 2015 # 3814 <br />CITY OF ORONO <br />Page 11 <br />