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cm OF OROHO -> VARIAHCB APBL^TION <br />Wfj£ <br />initial Application Fee $ <br />($50.00 per each additi <br />[enewal Variance Fee $75.dTy <br />(no change from original application) <br />After-the-Fact Fees (Double application fee) <br />ihm w. i' <br />FROPBRTT LOCATIOH <br />Site Address 7^^ 7^]^^ <br />V-,(i <br />U'W <br />T»;: <br />Property Identification Number (P.I.D.) 3^ OCoy <br />Please check one - Property V abstract or _ _ torrens? <br />:iz,i <br />Attach legal description to application if not included on <br />required survey. <br />APPLICAHT Phone (home) 4^7/ <br />Name Ckgr/as Phone (work)_ _ _ _ _ _ _ _ <br />Addreea; '7^/7 City; _ _ _ _ Zips ^ri <br />m <br />(if different than applicant) <br />N2une <br />Phone (home) ^18^ <br />Phone (work)_ _ _ _ _ _ _ <br />Address: f7<y/ 7 City: _ _ _ _Zip: fT <br />Date Property Acquired _ _ _(month/year) <br />I (do) <^liog^lso own the adjacent parcels of land. <br />PRESENT USB OF PROPERTY <br />Present Zoning District <br />Present Use of Property .Residential <br />Other (specify) <br />DBSCRIPTZOH OF REQUEST <br />Describe request in detail: X y» i <br />.t—^ <br />Estimated Construction Cost $ /^ <br />2: -fv, Al/JJ a -? <br />VARIAECBS REQUIRED <br />_ _ _ Lot Area <br />Setback Variances ( <br />Lot Width <br />Front <br />___ Hardcover <br />Side _ _ _ Rear) <br />>"Other /fee* ^