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cmr c? Clan, )iDoss5rA <br />Uw rj’id Varisrute Aonll• « <br />Cr (or i"'i’c>**3r'Ly) <br />.Vc!ross <br />3 3 <br />I--*£3l Description ^ <br />APPLia^fr i <br />---_________________^ 3 ^St L <br />^ 4;^ ■’*■'<-(ioT. 3/- // * . i j <br />a-.VvHR <br />- -/X )t.J:i£'2j':j^ < _ j5??f*.?_ f.J:^21 TJ! ^ <br />Address <br />V’ctI<'i-Of!s Vnriaico <br />__ _ Piprap <br />r/ <br />*cC <br />___________ <br />FOS CFFICMI, USE dW <br />Cacicil Action <br />Presc-nt Zorung . Present Use ^Ut-c4.rJ~ <br />Zunisg Crdvp.^.r»ce Dretion Relating to Pe<(.iest 3_q^-2^o O <br />Specify Ordinance Ibquirer.-nts V.J7 __/:i^ __^ <br />-^-l/ / ^ D <br />Date <br />Approved <br />Denied <br />Explain Request Relative to Roofiiresents <br />_ ■■/ J/ "30 /y ^. . /^. _ ^ ^ * <br />l2-—'>-'yS'< -^. <br />y xT c<-t_^y iT-^~ S<2y^J^ <br />Extent of Nco-confoimty _3^ ci-t-vw ^.i/i^f A3S <br />Har,khips to Property (Your roasois for roqo-sting this VarUnce or Conditional Use Perait <br />^ ~h'^ / i)^ e.-t' <br />/\ n. . .. / ^ ^7 <br />c/ <br />/TU?v --> ^> >-o /.■.----- <br />±-2^Z__V<1-^ <br />•y i ------------ — _________ ^ <br />:2C;<y f ----y- ; J!7; y <br />/ <br />/ • •- •7> <br />MAreRlAL KSC2SS.ARy K)R Oa PLETC APPLICATION <br />U-^t be 5?ub.T5ittod 1 veelc prior to Co>jnci] Meeting) <br />1. Ajblicatian coj.pleted <br />2. Plat Mnp Section <br />3. Sjrv'ey (S;£tch in proposal) <br />4. Certified Property 0UT»er’s List of <br />owners vithm (300 ft.) (150 ft.) - <br />from r^e,*inepin Cojnty Registrsr of <br />Deeds <br />5. <30.00 Pee * ' <br />Date^ ------l \--------------------Sij,nsture <br />« <br />\