Laserfiche WebLink
an OP OROHO - vmoancb application N A <br />Initial Application Fee §175.00 <br />($50.00 per each additional variance) <br />Renewal Var-ance Fee §100.00 <br />(no change from original application) <br />After-the-Fact Fees (Double application fee) <br />V <br />^ • w , A <' I <br />i • • U r W • ■ u • V <br />propsrty location <br />Site Address ^S'> <br />r: -rr••• •* ^ u • I1. <br />$rje^£^'7 <br />. . ■ ... I „ I <br />I , _ VV'VVV' <br />•, ; <br />\i ’ •:* Til*v»V <br />M.*..4 ' < • ‘5 f. r ^ u •' • ^ • -'V * 'u'v <br />Property identification Number (P.I.D. ) -, , , -7_ <br />Attach legal description to application if not inc <br />required survey. _ _ _ _ _ _ _ <br />-.’“-'■•A -OU <br />f 7i <br />X • x\ <br />• ; ^ W <br />. V* • X w*.* <br />» - , f 1 • f 7i ^ • <br />^ ^ ^ t L V V .A '>V X • A V • <br />APPLICANT Phone fhome) <br />-----------Phone (workl_iLZ2i£±a2_ <br />.. . . . ..... cA»ttrAj. t <br />(if different than applicant) <br />Name AJ Jc_ _ _ _ _ _ _ _ _ _ <br />Phone (home) <br />Phone (work) <br />Address;City;Zip: <br />Date Property Acquired_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _— <br />I (do) (do not) also own the adjacent parcels of land <br />(month/year) <br />present OSB of PROPERTY <br />Present Zonir.., District ?R j: B <br />Present Use of Property <br />Other (specify) <br />Residential <br />construction Cost - - <br />Describ. r.qu«st in ---- <br />VARZANCBS R) <br />Lot Area Lot Width Hardcover <br />Setback Variances (Front Side Rear) <br />Other <br />?! <br />■1/