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atorhe LR-IB e lagoon <br />division <br />ithin the <br />setback <br />ed survey <br />ferenced <br />I on the <br />triginal <br />renewal <br />!) Staff <br />lication <br />>n #2462. <br />4ii"'V ^ <br />■', ■■■■? I <br />? <br />• . - j <br />am <br />Vi <br />Lr .iV' <br />■■ =. \ <br />'• - <br />\1 ■.•i.y: - \ *f - : . *•»■" i-: - . ; <br />i i ;■ <br />CITY or ORoira ~ vjuiiabce ap 4 f?r n -X O U Receipt- ^Initial Application Fee $150.00($50.00 per each additional variance) Renewal Variance Fee $75.00(nc. change from original applicaticn) After-the-Fact Fees (Double application fee)PROPERTY LOCATIOR £ ^ /K'CJ^TSit. //. OP ^Property Identification Number (P.I.D.) ~ ((*7*"*^^ OOi ^Please check one - Property X abstract or _ _ torrens? <br />Attach legal description to application if not included on <br />required survey. <br />Phone (home ^ ^- - - - - - - - -crC^ <br />NameCJU~A^^ ETDAi-T-A AD-S________ Phone (work) <br />APPLICAHT <br />Addr.s.i3.sz,<r QL^K'HUfi.iT ^c?tY:3nu;M> <br />OffflER (if different than applicant) <br />nm. 3-/5/ujS- ^ <br />Phone (home) <br />Phone (work) <br />Address:City:Zip: <br />Date Property Acquired QCT I ? <i^C (month/yea r) tj^'L <br />I (do) (^ojno^ also own the adjacent parcels of land. <br />PRESENT USB OP PROPERTY <br />Present Zoning District A- 3_ _ _ _ _ _ _ _ _ _ _ <br />Present Use of Property VJ* A C-/\ ^'T 0 <br />_ _ _ _ _ _ Other (specify) <br />Residential <br />DKC3tZPTI0R "F REQUEST Estimated Construction Cost $ / ^ S7 <br />Describe request in detail: P A fH. <br />FAOU f=OCT f^AeJ< AT n4^ mV <br />VARIANCES REQUIRED <br />Lot Area Lot Width <br />Setback Variances (J2l 2L Front <br />Other <br />___ Hardcover <br />Side Rear) <br />■ ■• .. ■•••• •..=••