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hardships and <br />1 request that <br />irdships. In <br />Lc and unique <br />ig an unusual <br />■ -f • CIT? OP OROHO - VARIAliCB APPLICATIOW li;Initial Application Fee $150,00 <br />($50,00 per each additional varianqtf^ <br />Renewal Variance Fee $75.00 <br />(no change from original application) <br />After-the-Fact Fees (Double application fee) <br />il33x <br />f r * <br />i J**-*' ^ ■•./V’l.A/V <br />V « t <br />af • • • <br />4 «r V • % V <br />PROPERTY LOCATIOH - ■w:.. * <br />4 w i/ -• ¥ <br />Site Address . U}/M74-T/t <br />Property Identification Number (P.I.D.) /*/** //^* ^>(3**^^^‘^*** <br />Please chec)c one - Property ^ abstract or torrens? <br />Attach legal description to application if not included on <br />required survey. <br />APPLICART Phone (home) <br />Name _ _ _ _ _ Phone 33€/ XS <br />Address City« Zip: SS39/ <br />OMIfBR (if different than applicant) Phone (home) <br />Name Phone (worJc) <br />Address:City:Zip: <br />Date Property Acquired (month/year) <br />I (do) (do not) also own the adjacent parcels of land. <br />PRESSIT USB OP PROPERTY <br />Present Zoning District /jg-/g <br />Present Use of Property Residential <br />Other (specify) <br />DESCRIPTION OF REQUEST Estimated Construction Cost $ <br />Describe request in detail: SSS <br />VARIANCES REQUIRED <br />Lot Area <br />Setback Variances ( <br />Lot Width <br />Front <br />Hardcover <br />Side Rear) <br />Other <br />?*7 <br />I V. <br />h#-. <br />m <br />a <br />BARDSHIPDescribe ur <br />enforcement <br />DESCRIPTION OP I <br />Describe ur <br />Code Requix <br />2. <br />3. <br />REQUIRED SUBMIT1 <br />1. Completed P <br />Certified 1 <br />this list t <br />348-3271). <br />Stamped, 1 <br />names on tl <br />obtained wj <br />Certificate <br />Topographic <br />in existinc <br />Plat Map (c <br />As an adder <br />any other | <br />Additional <br />4. <br />5. <br />6, <br />7. <br />8. <br />The Applicant <br />remember that <br />information has <br />Certification b^ <br />Zoning Official' <br />APPLICANT'S SIGI <br />The applicant <br />requested by t] <br />unusual expense: <br />the informatioi <br />knowledge. <br />Applicant's Sigr <br />OWNERS SIGNATURE <br />The owner hereb <br />authorizes reasc <br />agents. Commissi <br />tion and verific <br />Owner’s Signatur <br />Af^licant must ) <br />Planning Commis: <br />third Monday of <br />review meetings <br />unable to atten< <br />authorized agent <br />Office of this <