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• •i?CXTT » ommo - VMtZMKS APPLZCMFIOH <br />Initial Application Faa $175.00 <br />($50.00 par aach additional variance) <br />H^nawal Variance Faa $100.00 <br />(no cbanva from original applicatioi^ <br />Aftar-tha-Faet Fees (Double <br />/6 <br />------------------------------ <br />wnant LTT uxxncm <br />a.WO- 0 ,'sV) ■'<CA0 <br />! <br />•it# Address , rvv -rwa r » wr T H <br />fxoMsty Zdantifieation lluabar (P.Z.O.) 2o ^ f /I ^ -1 ! • oOAZ. <br />Attach legal description to application if not included on <br />tarred survey. <br />r ■ ,vAtf£ rmi <br />n £3 175.no <br />r^k- 1J <br /># <br />(4. <br />^f »ti\) <9 *Su C L.» v*»l rV^ <br />Phone (hoMa) ’c(U -^1 TlUSi ’ <br />0S/2Z'91 - <br />Phone (work) i-cnzC <br />V I ■ rf r« rt w ” — - CP /i O ^ *' ««« —* ^ <br />jVddr*nu» 8g«4T i?4iA;c»«w*<vtw: Cltvt ✓»*/•*/><■> frA'«V _ TiTTfrl <br />(if different than applicant)Phone (home) <br />Phone (woric) <br />ii"Address s City*zips \ <br />Date Property Acquired (BK>nth/year) <br />lii'Z (do) (do not) also own the adjacent parcels of land <br />Present Zoning District ft-i <br />Present Ose of Property Residential <br />__________Other (specify) <br />fe.r ■ <br />y Bstimated Construction Cost S <br />Oeseribe request in details 9' i^0rj2f'CcAjcAeT^ G ^-^flfid^tT <br />1:.:.:teMUfffZni €P K <br />$ <br />Det Area <br />•etba^ Variances (, <br />Other <br />Lot Width <br />Front <br />Hardcover <br />Side Rear)4 <br />Vj