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_, ___ 06/1,,3/2002 14:19 FAX 952 844 3359 SPECIALTY RISK SERVICES <br />+9522494616 <br />14) 003 A: <br />I T-403 P-002/005 P..2Z3 Jun-06-2002 01110pm Frou,-CITY OF Ot <br />PROPERTY I~IFORMATlON <br />Site Address... -Z...225 ~l\\.\ vlE.'f\(' f U\t_,E, <br />Property Ideitdfication Number (Pl.D.) \f"\ -\ \'"\;:-1--,~ '-\~ 06"2-4.: <br />Attach legal clescrl_ptlon to application if not included on required survey. <br />Date P~~ Acquireq W12.A-ce \ ~ (month/year) <br />I (do) ~!9)also o'\l'JD. dre adjacent parcels of land. <br />Present use ,r.r property: ✓ residential __ other (specify):....._ _______ _ <br />Zoning Disttt:t: L.-R._...,£:C.... <br />APPL!~ -v · Phone (home) q_s2,_~"\\·oS'Gl$ <br />Nam.e _j ~I\ "7\0(.,.l-t Phone(work) qs'Z__"r\l -OS"'t~." <br />· Addr~:....::__ -zz...u; 5R-,\vn:.w PL-City: WA 1 'Yb+c-. Zip:,~' <br />OWNER (if drEferent than applicant) Phone (home) ______ _ <br />Name_______________ Phone (work) ______ _ <br />Addre$.s: ____________ City: _______ Zip: ___ _ <br />----.. ,----~--=----------------------(attach additional sheets if necessary) <br />VARIANCES REQUIRED <br />_L Lot Area _L Lot Width <br />-Setbac~c: Front _Side <br />✓ Hardcover - <br />Rear <br />_Lot Coverage <br />_ Average Lwceshore <br />_ Other (specify) ____________________ _ <br />HARDSHIP/JJ,ESCRIPTION OF 'ONUSUAL PROPERTY CONDITIONS <br />Describe u:idue hardship or practical difficulty or unusual propeny conditions preventing. <br />compliance :with Zoning Code requiremeots: -r •, <br />.~ :.'.;"' <br />6