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Date kuc; ' U��'�'�� <br />�JJ c; c> r; ►' =' Fee <br />-• �+ -• <> Receipt <br />t A <br />fr�OP u NO - IANC PlkdoloN <br />�a 1-_., <br />Initial Application Fee $ ti.0 ($50.00 per each additional variance) <br />Renewal Variance Fee $7?. 0 (no change from original application) <br />After -the -Fact Fees (Double application fee) <br />--------------------------------------------------------------------------- <br />PROPERTY LOCATION <br />Site Address <br />Property Identification Number (P.I.D. ) <br />Please check one - Is the property abstract or torrens? <br />Lttach legal description to application if not included on required survey. <br />--------------------------------------------------------------------------- <br />APPLICANT Phone ( home ) :g2/ -,7 2 7 2 <br />Name _��� 1 r �1 ..1L�!� Phone ( work) s emu' <br />r <br />-----►aares8: _ 3 -�-s o - �V - S�zry_city =--- /-------Zip-=�`-` -- <br />0 In (if different than applicant) Phone ( ome) <br />Name <br />Phone (work) <br />Address: City: Zip: <br />Date Property Acquired (month/year) <br />I (do) (do not) also own the adjacent parcels of land. <br />--------------------------------------------------------------------------- <br />PRESENT USE OF PROPERTY <br />Present Zoning District,v5/�e1� . G� <br />Present Use of Property y� ,�n%" r Residential <br />Other (specify) <br />--------------------------------------------------------------------------- <br />DESCRIPTION OF REQUEST Estimated Construction Cost $ 4 jWe "' <br />Describe request in detail: <br />--------------------------------------------------------------------------- <br />VARIRNCES REQUIRED <br />Lot Area Lot Width <br />Setback Variances ( front <br />Hardcover <br />Side Rear) <br />Other <br />--------------------------------------------------------------------------- <br />