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--·· __ 06/13_12002 14: 19 FAX 952 844 3359 <br />Jun-06-2002 D1 :10pm Froor-CITY OF ORl J <br />SPECIALTY RISI{ SERVICES <br />+9522494616 <br />14!003 <br />T-403 P.002/005 F•223 <br />Application# r -.+; '1 q ":/ <br />Date Received ~ 13:D;L <br />Amount Paid /@. o o <br />l'ROPERTY I~IFORMATION <br />Site Address.n -Z.. 2?5 ~f\-':\ '1.tEN -f> U\t.,E., <br />Ptoperty Identification Number (PJ..D.) \"'\ -\\'"\-J.r~ ~L\; 00"2-°\: <br />Attach legal description to applieation if not included on required survey. <br />Date P~~ Acquired ',\y'{2,:g_.. \ ~ (month/year) <br />I (do) ~~9)also own the adjaceDt parcels of land. <br />Present use ◄if property: ✓ residential _other (specify) ________ _ <br />Zoning Dish i,:t: L-R..!-£C <br />APPLI~ -i) -Phone (home) C(.$2/·\1 \ ·oS''l'\. <br />Name _j ~~I\ "'1'\0C.. .. :r\-· Phone(work) qSL"-\11 -oS"c;'.ct, <br />· Addr~ss:~.: -u .... :u; P-k:'-\v'l::t.w' PL-City: WA~Yb~ Zip: SQ:BI _ <br />OWNER (if clli:fferent than applicant) Phone (home) ______ _ <br />Name-----------·---Phone (work) ______ _ <br />Address: ____________ City:. _______ Zip:. ___ _ <br />DESCRIPTICJ1N OF REQUEST Estimated Co~ction Cost $ U. u\'<.uow' U <br />Describe request in detail: ~.e..""' ~\,)~~oJ -.v.rl b~-E <br />(attach additional sheets if necessary) <br />VARIANCES REQUIRED <br />_L Lot Area _:L Lot Width <br />_Setbae1k: Front Side <br />✓ Hardcover <br />Rear <br />_Lot Coverage <br />Average Lakeshore <br />_ Other (specify) _____________________ _ <br />HARDSHIP/JJ,ESCRIPTION OF UNUSUAL PROPERTY CONDITIONS <br />Describe U:ldue hardship or practical difficulty or unusual property conditions preventing <br />compliance ,with Zoning Code requirements;. ______________ _ <br />d_attach additional sheets if~_cessary) ,., <br />6 <br />~ <br />I