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■."•'VL <br />\ - <br />I^ ICITT OF ORC - VARIASCK UPPLICA I i-1 f ‘•» f*Initial Application Fee $150.00($50.00 per each additional variancel Renewal Variance Fee $75.00(no change from original application)After-the-Fact Fees (Double application fee).»4 • f fc- » •* ."rrr-r^ a 'Ufc. a ^ k.k\» • weA. /k.- >1 T'»r“‘ Va W V <br />PBOFBRTT LOCATlOa <br />Site Address 3 <br />A.. aw\ <br />v;? f.'f .«<•: ry^cj <br />/?£. aJ mac4^i /fjfj ssrs9^ ■ <br />Property Identification Number (P.I.D.) j' —// <br />Please check one - Property abstract or tcrrens? <br />Attach legal description to application if not included on <br />rec[uired survey. <br />APPLICAMT <br />Name <br />Address <br />Phone ihoaw) -fr<y 7i^ <br />^ Phone (work) ' ^7! *<fVZ J <br />• i07P> IjOiOCif__________ Cityi ^^lt/^ Zip? 5’S/Jf^ <br /><0RlI0l (if different than applicant) <br />Name >^/^gjb)n <br />Phone (home) <br />Address:'S2£:V37 City Zip: <br />Date Property Acquired (month/year) <br />I (do) (do not) also own the adjacent parcels of land. <br />PRB8BHT USB OF PROPERTY <br />Present Zoning District <br />Present Use of Property <br />/T-3 <br />Rgyldenttel <br />Other (specify) <br />DBSCRIPTION OP RJ T Estimated Construction Cost $ <br />Describe request in detail: <br />j <br />I <br />ii <br />4«’/rt <br />m-i <br />Ml