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cm or osoHo - vauuMCB applicati <br />Initial Application Faa $150.00 <br />($50.00 V •ach additional variance) <br />Renewal Var ^^ance Fee $75.00 <br />(no change from original application) <br />After*the-Fact Fees (Double application fee) <br />PKOPiMnr tocATioa <br />Site Address 9C <br />Property Identification Number (P.I.D.) S 9' /7-//2.3 2./ CcJ/7, <br />Please chec}.- Pr^rarty abstract or *--^torrens? <br />Attach legal .joription to application if not included on <br />required surv«;.v. <br />APPLICANT <br />Name <br />Phone (home) 7/0/ <br />_ _ Phone (work) SS/ <br />SASXS' Zi.X:ixAddress: <br />OWNER (if different than applicant) <br />Name <br />Phone (home) <br />Phone (work) <br />Address:City:Zip: <br />Date Property Acquired (month/year) <br />I (doj ty> also %m the adjacent parcels of land. <br />KHT USB OF PROPBRTT <br />Present Zoning District ^ ^ / CZ. <br />Present Use of Property ________ _____________c^jesldentia^ <br />_ _ _ _ _ _ Other (specify) _ _ _ _ _ _ _ _ _ _ <br />DESCRIPnON OF RB(20BST Estimated uonstructxon Cost $ <br />Describe request in detail : 7^^ <br />VMIANCES RBQOIRBD <br />Lot Area <br />Setback Variances ( <br />Lot Width <br />Front <br />Hardcover <br />Side _ _ _ Rear) <br />other