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etc. <br />rapacity of pond <br />3.3% <br />12% <br />k & B do not remain <br />>st for additional <br />Lana use —- - <br />location of proposal Cor property) <br />-^€s^ U-v-^A'Address j::rr-:L-- - -—- - --- - <br />Legal Description - --- - - - - - - -^ <br />applicant -^ <br />Address _£CC^-U - - <br />OWNER Name <br />Mailing <br />Address _ <br />Tel <br />type of REQUi/bi , <br />Subdivision $150+$l0.^/l <br />Re^oning $250 <br />___ Riprap $15 (?55) <br />J/ oo -75 <br />fee 7/ -S^x___ <br />Date Rec’d^^lr-/-::^-^ <br />By <br />Present Use <br />Present Zonxng <br />zoning Ordinance Section Relating^to R^uest ^ <br />Explain your request and reasons for same <br />VARIANCE required <br />lot Area <br />extent of nonconformity <br />Setback Fron^ <br />Other <br />Rear <br />Specify hardships i^bperty <br />SUBDIV1S1QS, applicst ion <br />Residential Other, explain <br />No. of lots <br />CONDITIONAL USE AND OTHER - explain proposed use <br />of property detail <br />1. .Application “"Pl«*** <br />rfemcatr^f survey of P«per^ <br />sRetch location and setbacks of <br />4. ^nf^ruction plan.. If applicaLl. <br />xannxiiy - - <br />s. c^ertmed «°P«,f^.r'',:^‘)“fro:’l <br />Z^epin Co""Dept^ of Finance <br />e-603 envelopes (#1 <br />pre-^es.2d to each of the na«i| <br />on the ahoe* U»t- <br />_ Applicant's Signaturej. <br />C-^ 1 owner's Signature oi^ - - - <br />i7ATE__^- -1- -- - - - -— orovide all inforrotttton requ commission <br />dXX fGBS BS __