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OP OP.t)NO - VARIANCE APPLICATION <br />IniV.ial Application Fee $175.00 <br />(.'550.00 per each additional variance) <br />Renewal Variance Fee $100,00 <br />(no change from original application) <br />After-the-Fact Fees (Double application fee) <br />/I <br />4 <br />PROPERTY LOCATION <br />Site Address yf) ^ oujh <br />Property Identification Number (P.I.D.) <br />Attach legal description to application if not included on <br />required survey. <br />APPLICANT <br />Name <br />Phone (home) <br />r\ <br />I <br />''•y <br />\ t'-h 'r' (ittjy Phone (work) <br />Address: P^o^jl (j>(o <br />OWNER (if different than applicant) <br />Name /lw-tv-.J?_ _ _ <br />City: rZip: <br />Phone (home)_ _ _ •• • •_ _ _ <br />Phone (work) <br />Address: <br />- y City:Zip:I <br />Date Property Acquired (month/year) <br />t <br />I <br />h.- .I (do) (do not) also own the adjacent parcels of land <br />w <br />PRESENT USE OF PROPERTY <br />Present Zoning District <br />Present <br />(U< - i&It, <br />Use of Propertv P. LLr. St'nnt.it & /Residential <br />DESCRIPTION OP REQUEST <br />Describe request in detail; vST^t/ <br />^ ")na V --------------------------------------------------- I.—. <br />Other (specify) <br />Estimated Construction Cost $ <br />VARIANCES REQUIRED <br />Lot Area Lot width <br />Setback Variances (_ <br />Other vg /-z-g. n^ <br />Front- <br />Hardcover <br />Side Rear) • <br />cA^ y