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n <br />f.tt <br />*1- > <br />k »•^ fp'ibAmiCATCITY or OBoao - vmuaInitial Apf»licatisn tmm $150.00 ($50.00 par aach a^itional va penawal Varianca Faa $75.00(no changa froa original application) A£tar-tha-Fact Faea (Oonbla application faa)cm 5T oaaefio»M rf locATiamSita Addraas £A iiJt J5.\0$. \04 <br />Prop«rty MmUfictlot. «u^>r (P.I.D.) 4l <br />plaaaa chack oam - ?r;>pax:tv ^ abstract or torrans? <br />Attach legal description to applicati<m if not incl\»Sad on <br />required survey, \ '^V\jL_ VcvriT^ __ _ _ ___ _ _ _ _ _ <br />Phone (hone ) Mil.- 4^APPUCABF <br />G <br />Address t ’I’V <br />Pr/Wri^V.* TrV. Phone (eork) »rlL~ M> *^C <br />cA St I City I Urri\c. ivvW4> gjp; SS^S^ <br />(if different than applicant) <br />Name /}j <br />Address: <br />Phone (home) <br />Phone (vork) <br />City*7 ip* <br />Date Property Acquired . <br />I Wof (do not) also twn the adjacent parcels of land. <br />PRlNBrr OSB OF PBOPBBTT <br />Zoning District A <br />(iBonth/year) <br />Present <br />Present Use of Property Residential <br />V <br />other (specify) <br />DISCRIPTIOH OF RBQI Estimated Construction Cost S. <br />Describe request in detail* L* ixVr^X <br />Tt U_:0\j2 riipi> V f-'i g V->; (^V\ <br />-P wr I <br />f _ <br />VARIAHCBS RBQOIRBD <br />_ _ _ Lot Area <br />Setbac)r Variances ( <br />Lot Width <br />Front <br />Hardcover <br />Side <br />V <br />Rear) <br />/ Other r'l’ f'j c e^-' -x":7 <br />>1 ^ <br />e <br />_ 'V <br />' ■>'" <br />" ■ - J <br />J