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/ t <br />CIT¥ OF omsm - vahiascb affucatioh 'A <« <br />Initial Application Foo S175.00 <br /><ISO.00 p«r onch nddltlonAl rnriwico)Ji. <br />Rcncrval varianco Faa 1100.00 <br />(BO chan^o fro« original appllcaticn) <br />Varlanca fcr noo conforming o*e 1200,00 <br />Aft«r-th«*Fact Faaa (Doublo application f*«) <br />c;rr <br />t*KQlPOITT IKftWMATIOS <br />Sit. nco fa»>Kts fon^T C.c,»A------ <br />Provarty Id.ntlf. Nuati.r <y.I .P. ’•1'^ OCO*? <br />Attach legal doacriftioo to application if not <br />included cn raqul.ad aurvoy. <br />Data ProsajLiy Acgulrad Caonth/yaar) <br />I (do)i l^ no^ alao own tha adjacant parcala of <br />Praaant uae of propartyi roeldantlal — <br />Zoning Dlatricti » Lp--------- <br />1^3 I fc 4 < W, »rouctci '^oi m <br />othar(apacify) <br />AFFLXCA8T <br />Naro <br />Addr <br />Phono (homo > > -■ Hi 9 CHat, <br />Phono (work ) ^ ^OO <br />: HoO i2a>,ecity: <br />omKR (if diffarant than applicant)Phona (hosus) <br />Naao Phona (workj <br />Addraaa* __________________________ City:Sip: <br />DESCRIPTION OF WSQOEST Eatimated Conatructlon Coat $J^ ^a ^ OO >.ff; <br />D..crib« r.qu,.t in HSX <br />VARIANCES RBQOIRED <br />Lot Area <br />Setb.tck: <br />lK>t Coverage__ Lot Width JX Hardcover _ <br />Front Side Rear ___ Average Lekaahore <br />Other (specify) <br />aARDSHIP/DESCRIPTIOH OP UNUSUAL PROPERTY CONDITIONS <br />DMcriba undue hardship or practical difficulty and unusual proportv <br />'•o.'iitions preventing compliance with Zoning Code requiremen a.________ <br />--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------■■