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A <br />Application it <br />Date Received <br />Amount Paid c .___ <br />crr\ OF ORONO - variance application <br />Initial Application Fee $250.00 <br />550.00 per each additional variance) <br />Renewal Variance Fee $150.00 <br />(no change from original application) <br />Variance for non-conforming structures $250.00 <br />After-the-Fact Fees (Double application fee) <br />property information ^ <br />Site Address H <br /># <br />rf' - <br />f-' " <br />Property Identification Number (P.I.D.) fY\ *• OOll ^ <br />Attach legal description to application if not included on required survey. rilVL <br />Date Property Acquired__^ ^__________________________(month/year) <br />1 (do) (do not) also own the adjacent parcels of land. <br />Present use of propert>" y residential __^other (specify) <br />ZonineDistrict: 1& Drv FnrY\iK| ____ <br />applicant _ _ Phone Oiome) 412 - 3^^ ... <br />Name Phone(utirk) y 7t-ll Z.'7 <br />Address: lUM-l PAR.1C City: QC^Ci^O_______Zip:_SS3J^ <br />OWNER (if different than applicant) <br />Name <br />Phone (home). <br />Phone (work)_ <br />Address:City:, <br />DESCRIPTION OF REQUEST Estimated Constmction Cost $ 10,000 <br />Describe request in detail: ^i;£yNi i) ^ MASTtSVL l^ATK ^ MA5fC^ <br />^ 'L ^OQ mS <br />(attach additional sheets if necessary) <br />VARIANCES REQUIRED <br />Lot Area <br />Setback: <br />___Lot Width <br />Front Side <br />Hardcover <br />Rear <br />Lot Coverage <br />Average Lakeshore <br />Other (specify) <br />HARDSHii'/DESCRIPTION O * USUAL PROPERTY CONDITIONS <br />Describe undue hardship or pra cal difficulty or unusual property conditions preventing <br />cornpliance with Zoning Code requirements:___________ <br />(attach additional sheets if necessary) <br />7