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appucation <br />(S50.00 per each additional vaxiance) <br />Renewal Variance Fee S150.00 <br />(nn change from original q)plicatioo) <br />Variance for non-confbcmiztg atnictures S250.00 <br />After-the-Fact Fees (Double application fee) <br />AppUcaiioa § <br />Date Received""f <br />Amount Paid <br />PROPERTY information <br />—//g^ Q n <br />Property Uc^cation Number (Pm) ------ <br />^pX'0- .cuucd- <br />I (do)^^B^also own the adjacent parceU of land. <br />survey. <br />, , -1,111 ------ww pan <br />Present use of property: X residennal <br />Zoning District_________ <br />.(monthtyear) <br />j)thcr (spccify)_ <br />APPLICANT <br />Name T)^ <br />Address: a> #<- <br />Phone (home).____ <br />(»■«*) 9S^Z- <br />owner (if different than applicant) <br />Name .____ <br />Clty._^T/g>/^rx» Zipr^mAS: <br />Address; <br />DESCRIPTION OF REQUEST <br />Describe request in detail: <br />City:. <br />P'.une (home)_ <br />Phone (work)_ <br />Estimated Construction Cost S <br />VARIANCES REQUIRED <br />___ Lot Area <br />(atUch additional sheets if necessary) <br />Lot Width <br />Setback: <br />Hardcover Lot Cov( <br />Other (specify) <br />front _ Side _ r ,„ _ <br />h>^ship/dkcwptio .n - of wusual property conditions <br />D.scnbe undue ^(hhip or practical difficulty or unusual property co <br />cc nphance with Zomng Code requirements: Property coproperty conditions preventing <br />(««Ach additional sheets if necessary) <br />'! 1 :T^\ <br />P'jB o