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CiOOW'#fOO)S <br />TR <br />% <br />m <br />\ <br />[TouBjry C>3sm <br />^/Trtllf Co <br />lOkrMoat <br />Mil W <br />/i nmn <br />litIV <br />1AP: <br />AppUcation # ^3C^'7 <br />Date Received ^ <br />Paid - <br />A ■ 'VARIANCE APPLICATIONInitial Application Fee $250.00 <br />($50.00 per each additional variance) <br />Renewal Variance Fee $150.00 <br />(no ch^ge from original application) <br />Jion-conforming structures $250.00 <br />After-the-Fact Fees (Double application fee) <br />property information ^ <br />Da.rp^r,S”— i;(5 <br />Pre«i?r^ O'™ <ha adjacent parcels of land:---------------------------(month/year) <br />__oAer (specify),___________ <br />applicant <br />Name Lf^wr^e,A/cLP r r^i ^ ^ ^ . Phone (home) ¥ZS- <br />different than applicant) <br />Address: <br />description OF REQUEST <br />Describe rfniKAct . <br />City; <br />Phone (home) <br />Phone (work) <br />{ > <br />^ i)'-o <br />Estimated Construction Cost $ <br />il^ncccssa^r" iWMAL <br />VARIANCES REQUIRED /s ,3FT.^,1,n. TvOfT: - <br />__LofArca __ Lo. WidO. _ Hardcover _Lo. Coverage <br />S/' Setback:Front l^Sid( <br />Other (specify) <br />Rear Average Lakeshore <br />”^crir®d^ufSp°or°'' rV dT^ property CONDITIONS <br />compliance with Zoning Code^^^^ ifficulty or unusual propertv conditi( <br />ext ,.s;o^txra^>s,0N OF On A Hoose tc Tfieloarn q.dbJsv (>n.