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t. <br />ORON VARIANCE APPLICATION <br />Ind � <br />1 ic i 9 Nle 50.00 $50.00 per each additional variance) <br />Renewal Variance"e 0"Pe07 (no <br />.0 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., QS7 I - zi 0003 <br />Please check one - Is the property abstract or — — torrens? <br />Please attach legal description to application if not included on <br />required survey. <br />---------------------------------------------------- ------------------- <br />"PLICANT <br />Name DArLC— Phone - 271. 3033 <br />IM'"4444. W61*fWFA W4441ft*s 1 <br />Mailing Address JLsi ywiv. tr&- SE. Se-viS 39b MFLS. AAFJ- 45414 <br />----- ------ ------------------------------------------------------ <br />OWNER <br />Name bg G t. 14 NJeLs Ot-4 Phone <br />Nailing Address 5700 LAKE MO. Ch— <br />Date Property Acqui ed (month/year) <br />I (do) (do not) also own the adjacent parcels of land. <br />----------------------------------------------------- ----------------------- <br />PRESENT USE OF PROPERTY <br />Present Zoning District <br />Present Use of Property Residential <br />Other (specify) <br />---------------------------------------------- --------------------------- <br />DROCAIPTION OF REQUEST Estimated Construction Cost $ <br />Describe request in detail: <br />7(ofd OF ArPJ AWITtapj, <br />--------------------------------------------------------------------------- <br />VARIANCES REQUIRED <br />Lot Area Lot Width Hardcover <br />Setback Variances Front Side Rear) <br />Other elf", (4 1-:- -- -r 11 ,0 JFT- 1,' 3 let t A- ',< <br />--------------------------------------------------------------------------- <br />