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r <: ! V I & <br />cm OP OROHO - VMtlMCB APPLICATION <br />Initial Application Fee $175.00 <br />($50.00 per each additional variance) <br />Renewal Variance Fee $100.00 <br />(no change from original application) <br />A£ter-*the**Fact Pees (Double application fee} <br />propbrtt locatk <br />SitO Address CU/^^ <br />^ / <br />pi^eperby Identification Mumber (P.X.D.) 3^ • //7 *^3~ f ^ <br />Attach legal description to application if not included on <br />raquirad survey.' LI <br />7-rv T <br />r*i-A;;rr •rrrrr <br />T:rr <br />XnULCBMt <br />Name f <br />Phone (home) <br />A «i ^ V w k. u vVv S <br />iWvA L V <br />)ia'1 <br />iw A W <br />r <br />______ Phone (worlc) m <br />•^i79i:C Jrvi 901 716 iii <br />a^sr________gitv! ^fano <br />c Phone (home) <br />'H.Phone (work) <br />i.:. <br />1; <br />§.■ <br />; M »■ <br />(if different than applicant) <br />Name StJ^ <br />Addrassi tfiS »lj^ city$iu^Jeli <br />Date Property Accjuired ______________ <br />Zip:tDi, <br />(raonth/year) <br />ti.?-w <br />I (do)tfdonoO also own the adjacent parcels of land <br />fe' <br />I <br />f-'t <br />JT U8I OP PNOPntTT <br />Present Zoning District //?• />o <br />U Present Ose of Property l/4^ihi^T^Residential <br />Other (specify) <br />h vnoa OP rtf Estimated Construction Cost $^ <br />I Describe request in detail: aX^Vortttnt^ pffyu»jly <br />ft.V:f , <br />iLV 9 <br />f(V=' <br />$J X Lot Area Lot Width Hardcover <br />Setback Variances (Front Side Rear) <br />if-1%’-a-..Other <br />■S'. <br />. -....A