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^, si <br />- ‘ •>. <br />i <br />I <br />CXTT or OMMO - VMOJUKI AFFLICATIOM <br />Initial Application Fao $ITS.00 <br />(ISO.00 por aach additional varianca) <br />Xanawal Varianca Paa $100.00 <br />(no changa froa original application) <br />Varianca for non conforming uaa $200.00 <br />Aftar-tha-Pact Paaa (Doubla application fae) <br />nOWITr IHPOmATKM <br />Sita Addraaa j) ?*7/ <br />^ a <br />'•* VOwaif wf wf>wftVi/ <br />c * if^ *cTir*‘ '•I ^*1 I «ww <br />l350200CdO^ <br />' w"v M ?/£•wwi> ?u as^*« <br />ru <br />•w ' a Va w wvv a <br />|»»/VJ $-07/ <br />Proparty Xdantif. Muabar (P.X.D.) <br />Attach lagal daacription to ai^lication if not <br />included on raquirad su: <br />Data Proparty Acoulrad (nonth/yaar) <br />X (do)'do not) alao own tha h^cant parcala of land. <br />Praaant uaa of propartyi ^ raaidantial _ _^othar(apacify) <br />Zoning Districts_ _ _ _ _ <br />APPUCAHT <br />Mama <br />Addraans <br />Phona (hona) V 7/ » <br />_ _ _ Phona (worlc) <br />Citvs Zips <br />(if different than applicant)Phona (home) <br />Nana Phona (worlc) <br />Addresss Cltyi Zips <br />DBSailPTXOH or RBQOBST <br />Deserve raopast in details <br />Estimated Construction Cost $ <br />VAKIABCBS MQOIIIB) <br />Lot Area <br />^Setback t <br />Lot Width <br />Front Side <br />Hardcover <br />Rear <br />Lot Coverage <br />Average Lakeshore <br />Other (specify) <br />ADsexp/D: <br />Describe undne hardi <br />md^^^^omisaAL propbrtt conditions <br />hardship or practical difficulty and unusual. <br />conditions, preventing compliance with Zoning Coda r^u: <br />. >.• A, <br />‘■’ . i... _ ..............................