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CSSt OF OROHO > VUtUUKB APPLICATION <br />1.5 <br />Initial Application Fee $150.00 a j ^ <br />($50.00 per each additional variance) mMU ^ <br />Renewal Variance Fee $'5.00 % <br />(no change from original application) // \ <br />After-the-Fact Fees (Double application fee) <br />PROPERTY LOCATIOH <br />Site AddressS>ALL>n/Z^ . <br />^^ O O <br />ci-y OF jfc^o <br />^ >rh!'^LE uf* “ i vil <br />i^^OICOOOO <br />Property Identification Number (P.I.D.) ^ " 7^^ SI OCO^ ^ <br />y OFtCs TL <br />Please check one - Property abstract or torrens?FtCEIFT-th^t^K ^QU <br />Attach legal description to application if not included ojr^OJllO iVOi Yii .vV.*- <br />required survey. 12/20/- <br />APPLICANT y0t»’v:i&4p>tYCr ‘ <br />Name <br />Phone (home) <br />_ _ Phone (wcrk) Sfp^y t " <br />c5o.n* <br />Address; 4i/k City; Zip; <br />(if j^ii^e^nt tJ^n_a^^Mn^) ^ <br />ame %<rcte. V S * <br />Phone (home ) 411 O 1 ^ < <br />Name l^fcCkL V S _______________ Phone (work ) ---- <br />Address; I^^Z^ALC^u/Z ^4-IC^.City: C ^ a_______Zip; ^'^3 ^ / <br />Date Property Acquired JuC^v/ \ ^ ^ S (month/year) <br />1 (do) f(^o^^no^ also own the adjacent parcels of land. <br />KRT USB OF PROPERTY <br />Present Zoning District _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ <br />Present Use of Property Residential <br />Other (specify) <br />OBSCRIPTIOH OF REQUEST Estimated Construction Cost $ <br />Describe request in detail;_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ <br />VARIANCES REQUIRED <br />_ _ _ Lot Area <br />Setback Variances ( <br />Lot Width <br />Front <br />v/Hardcover <br />Side <br />Other l-k. <br />Oliy OF OROr^O <br />FIRA^CE OFFICE <br />01 CE^ 50.00 <br />u,-L.Lf\ ’L r-v. 00 <br />>^ECE:RT-r;^^rJ^ rQU <br />^lO^ilO COO: Rv: Ti^:(