Laserfiche WebLink
J <br />Application # <br />Date Received"^ - <9 7 <br />Amount Paid ^-30. oo <br />■ VARIANCE APPLICATION <br />Imtial Application Fee $220.00 <br />($50.00 per each addition^ variance) <br />Renewal Variance Fee $120.00 <br />(no change from original application) . , <br />Variance for non-conforming structures $220.00 <br />After-the-Fact Fees (Double application fee) <br />PROPERTY INFORMATION /; <br />Site Address an ru ojl r/^Ca^ <br />Property Identification Nui*er (PJ.D.) 11 O--v '5' ^ <br />I(do) (do not) also own the adjacent parcels of land <br />t^O <br />.(month/year) <br />APP <br />Name Phone (home) ^*? / -*7 6 ^x <br />Address:. , . ^ ^ <br />Zip: <br />OWNER (if di; <br />Name <br />Address: <br />Phone (home) <br />Phone (work) <br />description of request <br />Describe request in detail:Estimated Cqnstmction Cost $ <br />(attach additional sheets if necessary) <br />ARI^CES REQUIRED <br />- ^ Lot Area 1Lot Width ^ Hardcover <br />Setback:Front Side Rear <br />L ot I <br />• ^0''^^tx^'ru n/z:cl9 1 <br />___^Lot Coverage <br />___ Average Lakeshore <br />_ Other (specify) <br />(attach additional sheets if necessary) <br />-% <br />7 <br />* •