Laserfiche WebLink
Receipt- <br />/4 <br />CITT OP OSOHO - VARIABCB APPLlCAlfXOH <br />initial Application ^ Q <br />($50.00 per each additionSriTvariance) <br />Renewal Variance Fee $75.00 <br />(no change from original application) <br />After-the-Fact Fees (Double application fee).1; .f <br />...vl.'CVi'vPROPBKTF LOCATIOa . .......... <br />Site Address ^ 7.^¥'’A4. . 'll'' ^ ^-3 / <br />Property Identification Humber (P.I.D.) /iH "St!!!—iJ2i 3 <br />Please checlc one - Property abstract or - - torrens? <br />Attach legal description to application if not included on- <br />required survey. _ _ _ _ _ _ _ _ <br />- <br />-'“'V •C « ^v; <br />•• - <^ : urw <br />X - C • \ <br />«• . s» » <br />Phone (home) i/ 7^5^ C <br />Phone (wor)c) 7 ( €*" C <br />City; Zipi_££21l---- <br />omiBR (if different than applicant) <br />Name _________________________ <br />Phone (home) <br />Phone (worlc) <br />Address:City;Zip: <br />Date Property Acquired I- -/^ 74.(month/year) <br />I (do) (do not) also own the adjacent parcels of land <br />FRBSBHT USX OF PROPERTT <br />Present Zoning District <br />Present Use of Property <br />Z.A2-/C <br />CResidential <br />Other (specify) <br />Estimated Construction Cost $ ^6 6)0 <br />Describe request in detail; <br />gARlAHCBS RBQUIBBD <br />Lot Area _ _ <br />DXSCXIPnOH OF R]IT X <br />Lot Width <br />Front^Setbacl^Variances (_ _ <br />Other JU/(:9S4^ ^ey-g^cK <br />_____ Hardcover <br />Side _ _ _ Rear)