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Application if 37 <br />Date Received ' <br />z“ss *™" “ <br />($50.00 per each additional variance) <br />Renewal Variance Fee $150.00 <br />(no change from original application) <br />ywance for non-conforming structures $250 00 <br />After-the-Fact Fees (Double application fee) <br />PROPERTY INFORMATION <br />Site Address JjTu v Pi <br />Property Identification Number fP ID V ^97 -----~,T=i-----__________________ <br />Attach legal description to application!? not in //i a—^^^ ~ CO‘3^ <br />Udo) (do not) also ow^ the adjacent parcels of land ---------------------------(month/year) <br />l^ent use of property: residential other <br />Zoning District;___________/ P IC. ~~— (5P«ofy)------------------------- <br />applicant t ^ II <br />Name 3e»PF Q^. „ jb<f*rr v (home), <br />Addres!T pi f ------p— Phone (work)_ <br />7 r l--------- Clty:_Or(r^-<- Zin: /~ <br />OWNER (if different than applicant) <br />Name __ <br />Address: <br />Phone (home)_ <br />Phone (work)_ <br />description of request <br />Describe request in detail: <br />Zip: <br />Estimated Construction Cost $ <br />•/a?*'/ . yy <br />•/< <br />variances required <br />------Area ___Lot Width <br />(attach addition^ sheets If necessary) <br />Setback: Front <br />Other (specify) <br />Side <br />____ Hardcover <br />__Rear <br />.Lot Coverage <br />Average Lakeshore <br />compliance with Zoning Code tequirements: ^ *’"''“•“8 <br />(attach additional sheets if necessary) <br />^ '• ' ,f <br />Tr As." ___^ <br />I