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<br />CITY 01' 1t08BVILLJI <br />2"0 CIVIC ca..,a. DRIVE <br />1t08BVILLI, "XIDJ:80Ta 15113 <br /> <br />_X_ Kinor Variance, Driveway <br /> <br />project 110. <br /> <br />~ <br />r¡ ~s "IJ q1 <br />I' I}I' <br />~t 0 <br /> <br />NO FEE <br /> <br />Please complete form by typing or printing in ink. .If the spaces <br />provided are insufficient, uae additional sheets, keying <br />information to the proper item numbers: <br />1. (rt) It. ¡\/'" L ¡ Id IrIY c. £ r;.. A- R J1¿¡ !? IY <br />Name of OWner: (First) (Middle) (Last) (Phone) <br />2. J,l;!.. of ~:~R~~i~~t .~c1t:) LIJl.{:?~t.;~Je <br />3. ùð h «'1 tt W Pv 13 fr¿ f G IrR/'AÞ K f.~r'" f38Ó- <br />Name of Applicant: (Firat) ~ (Middle) (Last) (Phone) <br />4. J.f ó- M r Ii If '0--6-113 <br />Addrea. (C ty) (state) (Z~p) <br /> <br />5. t¿ 0- J ø f1 (J d fL <11/ F F '3~? t+- ~ L M r tY IV ó ô /J Ô <br />Address of Property: (No. and street) (City) (state) (Zip) <br /> <br />6. <br /> <br /> <br />7. <br /> <br />8. Present Zoning of Property: &:.1 <br /> <br />9. Variance is requested from the following city code 13.050 <br /> <br />10. Information which must be submitted for all applications: <br /> <br />A. 8-1/2" x 11" site plan showing property lines and <br />location of driveway. <br /> <br />B. Written approval from owners of adjacent property <br />affected by the variance request. <br /> <br />11. The Minor variance Application with accompanying documents <br />are set to the City Council for final action under a Blanket <br />Variance format. <br /> <br />12. The above statementa are true and correct to the beat of my <br />knowledge. <br /> <br />JPhlY <br /> <br />lit W fl E Iy--c é G* f\MJ:« <br />Signature <br /> <br />6 - Id- 1'!- <br />Date <br />