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Village of or,)no <br />Appl i.c.ition for Variai:ce <br />from '.:e:tlands 016inance <br />Directions to Ajjj ,1 icant: <br />#76 <br />Por Of f i ctal Use .c�_tii <br />Name <br />C..:,•� td .. <br />a. Prepare lour copie-s of thi . fr,lm by t.ypinq or printing <br />in ink. If the-1paces provided arms in:;ut: icient, u.;t <br />additional she-els, keyinU infn:.mition to the proper item <br />numbOr. <br />b. Attach all supplc:montary material by paper clip. <br />C. File four copies with Village r'lc.rk. <br />Name o Owncfr: �(�.�:,t-1 (t M�e1df e <br />rye- <br />e.ss -of Owner : "« Ph,)ne <br />7 <br />3. ll�L1dLr'!'f� <br />;;tree:t ad eor:; or i,ropct t.y nvo�ive�� ur, f f �J►c,n�• �•�.c•,t y, <br />cic�:c-lIptiur► cif location. <br />- �it�ar 0- e;L i-t. ! It of (�rvpe�l <br />