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CITY OF oRok o· -v ARIAN CE APPLICATION <br />Initial Application Fee $250 .00 <br />Application# . /).b 04 <br />Date Received {_p/~3/tJC/ <br />Amount Paid jf J..g]). 61), <br />;> <br />($50.00 per each additional variance) <br />Renewal Variance Fee $150 .00 <br />(no change from original application) <br />Variance for non-conforming structures $250.00 <br />After-the-Fact Fees (Double application fee) <br />PROPERTY INFORMATIO~ ,/ <br />Site Address 0,5'0 JJ, Br()u)v'l Rd 6,,.~,'\Q. A!J S:S§h <br />Property Identification Number (P.I.D .) 3V....JJg-z3 IZ 666y_ <br />Attach legal description to 3;pplication if not included on required survey. <br />Date Property Acquired 0c f bhfi /9~b (month/year) <br />I -(do not) also own the adjacent parcels of land . <br />Present use of property: ~residential __ other (specify) _________ _ <br />Zoning District:_L__,B'-'--...... JA'--"--___________________ _ <br />Phone(home) ~t -~ <br />. Phone(work) ~--= 31Jf}~J,Ol/{)7;.~ <br />City : ()r:<'nll ,;id/IT Zip: ~ . · <br />OWNER (if different than applicant) <br />Name 7 40CJ II( <br />Address: ------------ <br />Phone (home) -------- <br />Phone (work) --------City : ________ Zip: ___ _ <br />DESCRIPTION OF REQUEST !stim ~t:d~ ~onstruction Cost $ ______ _ <br />Describe request in detail: :-ee t: xh ,act 4 <br />(attach additional sheets if necessary) <br />VARIANCES REQUIRED <br />Lot Area Lot Width Hardcover __ Lot Coverage <br />Setback: Front Side Rear ~ Average Lakeshore <br />;L Other (specify) lkiJhf a>{ Fl2lc(: <br />HARDSHIP/DESCRIPTION OF UNUSUAL PROPERTY CONDITIONS <br />(attach additional sheets if necessary) <br /># :'.'··•····_·•·✓_- <br />Ur:.;;: .,,..--. <br />.