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cm OF OiOHO - VARIASCB APPLICATIOM <br />Initial Application Fee $150.00 <br />($50.00 per each additional vari <br />Renewal Variance Pee $75.00 <br />(no change fron original application) <br />After-the-Fact Fees (Double application fee) <br />OmC) f i <br />FBOFtMT LOCAnoa <br />Site Address ^ ^ ^ <br />Property Identification Number (P.I.D.) ~ V - Z. <br />Please check one - Property ^ abstract torrens? <br />required *surv^***^^^^^*** application if not included on <br />APPLICANT <br />Name ^ vO \\(A ^ <br />Phone (home) H 1 2- *) ^ <br />Phone (work) ^ ^ ^ <br />Addresst (/ ^ Citv» Zipt <br />ONNBR (if different than applicant) <br />Name <br />Phone (home) <br />Phone (work) <br />a • » • a Addresst Cityt Zips <br />Date Pr^erty Acquired (month/year) <br />^ot) also own the adjacent parcels of land. <br />PRB8BHT 08B OP PNOPBITT <br />Present Zoning District <br />Present Use of Property y\ g>^<s STG1A6 <br />i <br />cm OF (mo <br />nrn9i$mmiVFici <br />_ other (specify)1JS0200000 I <br />mi <br />OBSCRIPTZOil OP SNQOBST Estimated Construction <br />Describe request in detailsc,(^ 707:21 <br />-~L_ _ ____ _ _ _ _ _ _ _ _ _-(Sv/E.AAt^e. ^HT^ACJT '- --—- - - - - - - - --- - -~-"rL.-Ji::::^-flLcr5/^pariahcbs rbqdirbd <br />Lot Area <br />Setback Variances ( <br />Lot Width <br />Front <br />Other ^0£ft.A»e>£ S(aY(^Ac^ <br />_ Hardcover <br />Side _Rear)