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iio tcm or ammo - WKUJmcm atpliciiticiiInitial Application W— $130.00 ($50.00 par aach additional va Ranawal Varianca Fee $75.00 *O .o(no chanoa froa orioin«i annii >) <br />monm hoaaiam <br />Site Addresa, noQ l2>oi4<M5 Pot«^-r icws <br />r* <br />Froparty Identification Hiabar (P.I.D.I /^ -f ll~ J23 2.^ ^000*^ <br />Plaasa check one - Property 7^ abstract or torrans?a • i. V <br />Wnctlon if <br />”1 «-a A <br />not ineludad on <br />»► « <br />applicant <br />Name 44.0( <br />Address?/loo <br />X <br />OWNNR (if different than applicant) <br />Name _ _ _ _ _ <br />Pbone (ho»a) 4-1 ( ^"\<\LL. ’ <br />_ _ Phone (work) -3ft(a5^ <br />Phone (hoeia) <br />Phone (work) <br />City?Address? <br />Date Property Acquired >40V .19^9 (month/yaar) <br />- - --!_ Adjacent parcels of land. <br />^ISIEHT OSB OP PAOPBimr ” * * -- ---- -- - - - - - - --PROPBRTT <br />Presenc Zoning District <br />Present Use of Property 5i>A<bL^ <br /><-g--li^ <br />Residential <br />Other (specify) <br />description of rboobst Estimated Construction Cost $ A. <br />variancbs required “*■ ” - --—- --— <br />Lot Area Lot Width <br />Setback Variances ( Front <br />h&’k. m. <br />N>^ <br />Hardcover <br />Side Rear) <br />CS6:€ic, <br />(5>siC/p-^.A » I >s •.-C^oc.ve6..5.^e <br />■^y <br />I <br />Mfr 1•V- ’ <br />^ 4i' * Js i <br />J <br />■ <br />1 <br />2 <br />4 <br />5 <br />$ <br />7 <br />T <br />r <br />1 <br />C <br />z <br />A <br />T <br />r <br />u <br />t <br />k <br />O <br />T <br />a <br />a <br />t <br />A <br />P <br />t <br />r <br />u <br />a <br />O