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n f <br />< . <br />V <br />• <br />^ 'V-f. <br />I! I <br />'* <br />> > <br />' <br />V _■• <br />r * <br />• f • <br />* \*t“ t • * <br />> <br />'1 <br />>j <br />cm OF OROMO - VARIARCB APPLICATION <br />Initial Application Pee $150.00 ^8 <br />($50.00 per each additional veciAtice) ^ <br />Renewal Variance Fee $75.00 § J ^ — <br />(no change £rooi original application) <br />After-the-Fact Fees (Double application fee) <br />O Q <br />.. -? t <br />r <br />n <br />propbrtt location <br />site Address ^T^''£f 1 jI^S ^urfnha.ry) <br />Property Identification Nunl>er (P.I.D.) tii"l^ QUO ^ <br />Please check one - Property ^ abstract or _ _ torrens? <br />Attach legal description to application if not included on <br />required survey. <br />APPLICANT <br />Name <br />Phone (home) Wl <br />_ _ _ _ _ _ _ _ Phone (work)V7 i <br />Address: ^ ftAS (1)f_ _ _ _ Citv; Zip; ^ S"35 '/ <br />ioH/) if <br />OMNER (if different than applicant) <br />Name i L1,^ 9 &V& <br />Phone (home) 5 <br />Phone (work) <br />Address: f. A P>d > City; <br />Date Property Acquired "j)^(L. <5*^ <br />Zip; S^Sle <br />(month/year) <br />CITY OF CROWI (do) no^ also o%m the adjacent parcels of land. ririh'mc <br />PRESENT 08B OF PROPBRTT ^^''''^''oToEH 150.00 <br />rrAiA«r£ <br />Present Zoning District <br />Present Use of Property <br />CHECK JL 150.00RccEiPT-rmm you uosmo cool ROl T13:LResidential 05/2u/S <br />Other (specify) <br />DESCRIPTION OF REQUEST <br />Describe request : <br />Estimated Construction Cost $ <br />VARIANCES REQUIRED <br />________ Lot Area <br />Setback Variances ( <br />Lot Width <br />Front <br />Hardcover <br />Side Rear) <br />Other <br />•w <br />F" • <br />ill <br />* <br />r <br />i •• ^ <br />i • « <br />f* . / * <br />f <br />'/