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ti <br />^ ,f\, O <br />\3 -V .V IV- •■: '*\ <br />Initial Application Fee S200.00 <br />($50.00 per each additional variance) <br />Renewal Variance Fee $100.00 <br />(no change from original application) <br />Variance for non-conforming structures $200.00 <br />After-the-Fact Fees (Double application fee) <br />PROPERTY INFORMATION . <br />Site Address ^! )D Tip u* h <br />iJTY Jf ^.ICr^O <br />•-*-.u; <br />*. Jh. V VVV* <br />’ ^ T*f <br />•'-'k..* - . V • <br />«»• « 9 • <br />■ ^ ^ m • 9 <br />cV <br />• 9 • • <br />*.w I V <br />V <br />^ ' w* * w' '• W J ^V . <br />Property Identification Number (P.I.D.) ^'5/7/ •» 3^/ <br />Attach legal description to application if not included on required survey. <br />Date Property .Acquired ) > 9 ? ^ -- - - --- - - - - - -^ <br />I (do) fdonotTalso own the adjacent parcels of land. <br />PresentusTofpropeny: ^^residential ___other (specify)-------------------------------- <br />Zoning District:______________________________________—---------------------— <br />APPLICANT // / ,/ .' , <br />Name Hii 'T V rJ^S> <br />Address:_j2j£_£2 <br />Phone (home) ^ <br />Phone(work) . <br />City- ^ ,dc»________Zip:. ^ <br />OWNER (if different than applicant) <br />Name ________________ <br />Phone(home) <br />Phone (work)_ <br />Address:City:Zip: <br />DESCRIPTION OF REQLTiST Estimated Construction Cost $_2£‘ <C>C>C>_r-------- <br />D^cribe^que^ in^^^^^ : ft rM V I j *^d 7u V <br />dd4-fit?a: w-r ir t iir nr ^ \ \ <br />(attach additional sheets if necessary) <br />VARIANCES REQUIRED <br />Lot Area ___Lot Width <br />Setback: _ <br />Other (specify) <br />Front Side <br />Hardcover ___Lot Coverage <br />Rear V^'^'^verage Lakeshore <br />HARDSHIP/DESCRIPilON OF UNUSUAL PROPERTY CONDITIONS <br />or practical difficulty or unusual property conditions preventmg <br />compliance with Z 'ing Code requirements. <br />(attach additional sheets if necessary)