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CITY OF OR # V I CE: PL N20 __-1'1 40 <br />Initial Application na 'ct) <br />After -the -Fact Fees Is <br />------------------- ---- vim W-- I 1-01M --- 0 ------ i-"- <br />PROPERTY LOCATION <br />Site Address %%O NO 5#6kc <br />Property Identification Number (P. I . D.) 07- jtj-,21- j7.3 - QO7Z MID <br />Please check one --- Is the property abstract or torrens? <br />Please attach legal description to application if not included on required <br />survey. <br />APPLICANT <br />Name &.P K D_V AI t#"L u Kp Phone _ e 3 3- 4 %Z <br />Mailing Address IAsf Pj%fr- 4,4,ee- Dfir'C. Af7W <br />---------------------------------------------------------------------------- <br />OMINER <br />Name !�4rE" Phone <br />Mailing Address <br />Date Property Acquired r'/Y�'L /i /9f / (month/year) <br />I im (do not) also own the adjacent parcels of land. <br />PRESENT USE OF PROPERTY <br />Present Zoning District 1-.A /G „y LR-le <br />Present Use of Property �C NT- '/u T Residential <br />Other (specify) ___.....__ <br />DESCRIPTION OF REQUEST Estimated Construction Cost $ 4 4'-000 <br />Describe request in detail: -1'+Fr.�-u �—r4: E c 2~�.� r <br />11_.._.LES s _.__Llltt..�C.._ltV c< _._.-r,dE•c�` ./t._�� _ ��iallt..-,,�,c1►�-?ls.�l.�._.._ <br />------------------------------ <br />VPRIANC KS RMQJIRED <br />Lot Area `� I.ot Width Hardcover <br />Setback Variances t Front Side Rear) <br />Other <br />( i.>V F: k ) <br />