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CITY OF OFCWt M314MMM <br />Canditional Use and Variance Application <br />IO( MON OF PI 1L (or property) <br />Legal Description �c•7� <br />APPLICANTr <br />Name —7Qb� �,a.,. n �a Phone # <br />Address10 ,A1 8 (- _ <br />Marne ( ,eo . <br />�L1 !//1 1/ <br />Address V /J /'V G, �N L 14a,14 ,� � �+ • �� <br />Present Zoniri Present Use <br />Zoning Ordinance Section Relating to Request <br />Sepcify Or dinarm iAquirements <br />Conditional Use <br />Variance <br />Wetlands variance <br />Poe <br />POR OFFICIAL USE aaz <br />Ootmcil action <br />Date <br />EVUin Request Relative to Requirements 1.1s� 1.� I re41 1 J ..c �r��tL <br />Extent of Mn-confonaity <br />Ja7L, - 4— w,I 0,� <br />Hardships to Property�'�O <br />��Ci� �(E• �� c « i� �/ tc sit cc ,�,. lJ <br />-de <br />i <br />MrERIAL NMSI;AM FUR CMT TE APPUCATION <br />(MUst be sUhmitted 1 week prior to Council Iieeting) <br />r / f <br />i <br />'•��/jIs nuSc- <br />2. �li� �l�leted 4. Abstractor's Certificate of Property <br />3. survey (�h � Owners Within 300 Ft. <br />proposal) 5. $30.00 Fee <br />Date Signature <br />