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lip 1/ <br />cm OF oRoao - variarcb applzcatiom J .i <br />Initial Application Fee $175.00 <br />($50.00 per each additional variance) <br />Renewal Variance Pee $100.00 <br />(no change from original application) <br />After-the-Fact Fees (Double application fee) <br />tr X 1 <br />u'f <br />W* I <br />w».*V\' <br />J.-•i"-A <br />- v‘ ■ • VV-?C.- rA <br />r- - ivV <br />FROPIRTr LOCATK . 7- 7T <br />Site Addreea / f s*;>A_> ^ '■ <br />" , —* ‘•i 4 <br />__ _/ . vi <br />Property Identification Number (P.I.D.)3/ <br />Attach legal description to application if not included on DEC <br />required survey. <br />6 £990 <br />APPLXCAMT <br />Name ^ <br />Phene (home) <br />A Phone (work) <br />Address: r/*<^c<iucss fj,^r City? <JjrZ .* 'A Zip: <br />I «(if different than applicant Phone (home) <br />% <br />f. <br />1-t <br />Name f *‘/^/rh i.cc Phone (wor)c} <br />Address:^ - xt £:City:Zip: <br />!?•■■■Date Property Acquired <br />If^d^ (do not) also own the adjacent parcels of land <br />(month/year) <br />OSS or pROPBsry <br />Present Zoning District r> <br />I Present Ose of Property H.jtt.»> Residential <br />Other (specify) <br />PTXos or HIST Estimated Construction Cost $ 7oo^~ <br />Describe request in detail: KSt^A j^ Z/DA/yore^^^^cS: ay DgeX. <br />• I <br />Lot Area <br />Setback Variances ( <br />Lot Width <br />Front <br />Hardcover <br />Side X Rear) <br />Other <br />EiiliMeMaiiiua.^