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cm* or ORONO. variance application <br />Initial Application Fee $250.00 <br />(SSO.OO per each additional \ariance) <br />Renewal Variance Fee SISO.OO <br />(no change from original application) <br />Variance for non-conforming structures $250.00 <br />Aftcr-the-Fact Fees (Double application fee) <br />PROPCRTV INTORMATION , <br />Site Address Vy ^ t j) r •________ <br />Propeft> Identification Number (PIP.) g og9 <br />exhibit A <br />Appikalion tt 2.^^ <br />Dale Received"''-'h <br />Amonat Paid S oO <br />Attach legal description to application if not included on required survev. <br />Date ^pertv Acquired______^ <br />1 (do)^^ nou hlso own the adjacent parcels of land. <br />Present use of propem- \ rMidential <br />Zoning District: JL §C f f\________ <br />_(mcT-Jivear) <br />.other (specif))_ <br />APPLICANT <br />Name _ <br />Address: <br />Phone (home) <br />Phone (work)/5-/> V. 7yd c <br />/.Vv< iOt*, <br />OWNER (if different than applicant) <br />Name <br />Address: <br />7 <br />Phone (home)_ <br />Phone (work) <br />Zip: S'S’If/ <br />Cii>:. <br />DESCRIPTION OF REQUEST Estimated Construction Cost S <br />Describe request in deuil: a7T^9L iJ <br />(attach additional sheets if nccessarv) <br />VARIANCES REQUIRED <br />Lot Area Lot Width <br />Setback: __Front <br />Other (specif))_____ <br />__Side ___ <br />Hardcover <br />Rear <br />.Lot Coverage <br />__ Average La'xeshore <br />HARDSHIP/DESCRIPTION OF UNUSUAL PROPERTY CONDITIONS <br />(attach additional sheets If necessar>) <br /># <br />C'l-< Q