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.Initial Application Fde^TS.OO ^ <br />fscrn.no nor each addrt^S^^'-'variance ) <br />-I /O <br />a 'V' ” n <br />/Hi <br />L"£ <br />> (no change fr 5.NT, <br />After^the—Fact Fees (Double application fee) <br />PROPERTY LOCATION <br />Site Address 0 0^ ti SP <br />o ^ <br />r4ir /?£fW5 <br />™.f£ Of£Ji <br />i£.V 22L<?^ i£?a ?t <br />t^ECElPr-THAHK YOU <br />^223670 cool <br />■^4 <br />r Property Identification Number (P.I.D.) Q'7- // Z'J^^ ^4 CCcS <br />Attach legrl description to application if not i .eluded or <br />required survey. <br />APPLICANT Phone (home) <br />Phone (work) <br />Address N C/y^/T>g> r/r - City; <br />OWNER (if different than ap'licant)Phone (home) <br />Name Phone (work) <br />Address;. City;Zip: <br />Date Property Acquired (month/year) <br />I (do) (do not) also own the adjacent parcels of land. <br />PRESENT DSBvOP ,TROPERTY \^ \ <br />Pres^l\zoning District <br />\ \ \ •■''1'“* i <br />■ \Present Use of Property _____ <br />'.v Residential <br />Other (specify) <br />DESCRIPTION OF REQUEST <br />Describe request in detai..; <br />Estimated Construction Cost <br />£ Bi'it-PlUt. OfiC- <br />VARIANCES REQUIRED <br />Lot Area <br />Setback Variances ( ^ <br />Lot Width X <br />'k <br />Hardcover <br />Side _ _ Rear) <br />Other <br />I