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- H«nnep4fi Cty. DOT <br />if A ^ >-f> A <br />Zi£tk__2^« <br />------<3Vlf» <br />PROPERTY ADDRESS JeO 7>^u... „ ....clTy.n„^ <br />APPLICANT ... J121^, VC 7 <br />Killing Addrcat 4 <^6<f >y ^ D T, <br />If Applicant la not owner, explain <br />17^ O O jL <br /># <br />LIST OF EXHIBITS <br />Deacrf pHom <br />Xnitlal Application <br />Bxiat Include: <br />OWNER kj»« .S^ i>^ e Phone <br />Kalllns Addreae <br />Date Property Acquired F (Hpnth/Year) <br />I (do) (do not) also own other adjacent parcels of land <br />% ■ <br />Application Porn <br />___ Property Ownert Llat <br />Certificate of Survey <br />teff Infonr.at Ion <br />* Plat H>p <br />5 Inventory <br />X <br />^ Staff Cocnenta <br />AGENT Flione <br />Firs <br />Other TnfprcjtIon <br />7 jf<Sf^C <br />\etn6 <br />Mailing Addreae <br />3 • NOTICES Should be acnt to:Applicant fWner Agent <br />PRESENT ZONING USE DISTRICT ^^ i^ <br />PRESENT USE Aealdentlal (Other) <br />Vacant Land Vacant Bulldlng(e) <br />> 8.DESCRIBE REQUEST <br />aatabliah new uat <br />Occupied Building(a) <br />ESTIMATED CONSTRUCTION COST $ 3. OUt/ <br />contlnu. o, ^ “ ,1^.7 _ y.pUc. <br />Describe request In detail: ^ <br />f,r4 y»nsP <tj>U ',n fk.'t e'^ <br />f ---------------------------------------------------------- <br />Lot AreaVARIANCE(S) REQUIRED to do the requested Work: <br />_j/^Setback (____ Front ^^^de ____ Rear) Other <br />Lot Width Hardcover <br />10.Describe UNUSUAL PROPERTY CONDITIONS pr«.cntl«, coopH.„e. vlth Zoning Cod. r*,ulr««„..: <br />_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ <br />i <br />Describe UNDUE HARDSHIP or PRACTICAL DIFFICULTY ....uu, <br />t-OLy .. A,,/., <br />naVAi«.o.-/ Jits ^ <br />12. Describe EFFECT OF PROPOSED <br />f <br />------------ <br />/n j <br />WORK on neighboring proper.l,. ..g ^ ^ g«,r.l: <br />PROPERTY OWNER must <br />The yniCANT hereby egreea to provide ell Inforvetlon <br />*“*"• **»‘n*»*retor. Agrees <br />I» fj?. " fT** ^“'uel cnpeneee Incurred in revleAiof thle eppllcetlon, and eertlflee that the inforu«tlon <br />supplted la true and correct to the beat of hie hnovledge- <br />sign and date this application. <br />The Win hereby acknowledges and egreea to thle appllcatli <br />hU‘‘cf^^ "try onto thg praLrty <br />‘ft**’ •*ente. coeataalon ^ <br />Applicant's Signature Date Owner’s Signature Date-------------- <br />BEFORE PTANNTNG CnM?-nSSTnN bU-EriNC