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<br />CITY OP ao8IVXLLI <br />2"0 CIVIC CBØT.. DatvB <br />&o8BVILLB, "XIMHJ:8OTA 15113 <br /> <br />_X_ Minor Variance, Driveway <br /> <br />f~~ ~A 'V <br />.~ <br />,., 1 \ <br />.roject 110. 0Þ~ L <br /> <br />NO FEE <br /> <br />Please complete form by typing or printing in ink. Xf the spaces <br />provided are insufficient, use additional sheets, keying <br />information to the proper item numbers: <br />1. //tV"/- /f:?J~ A?k..ro~ /I '/n,l6/0 W~~J-.a1; <br />Name of OWner: (First) (Middle) (Last) (Phone) <br />2. f//J Cr/e/llA./ooc/ Rvc./?o.rc-I/7/1c. ~. ...J.J7/3 <br />Address of OWner: (No. and street) (City) (state) (Zip) <br /> <br />3. Jt:<./"I £. c.....J tZ,: 6ovc... <br />Name of Applicant: (First) (Middle) <br /> <br />(Last) <br /> <br />(Phone) <br /> <br />... <br /> Address <br />s. <br /> Address <br />6. Complete <br /> Lot'" <br /> <br />...J",-"" c... c:W A.ð 0 v~ <br />of Appl.) (No. and street) (City) <br /> <br />¿(/¿- &k'ftUCJò/ #V4C- ÂO.f<:-v///c.. <br />of Property: (No. and street) (City) <br /> <br />(state) <br />/11 rl <br />(state) <br /> <br />(Z~p) <br />SJ7/3 <br />(Zip) <br /> <br /> <br />öÁ <br /> <br />7. Present Use of Property: ae.idential <br />8. Present Zoning of Property: 1:1 <br />9. variance is requested from the following city code 13.050 <br />10. Information which must be submitted for all applications: <br /> <br />ý'"A. <br />~B. <br /> <br />8-1/2" x 11" site plan showing property lines and <br />location of driveway. <br /> <br />written approval from owners of adjacent property <br />affected by the variance request. <br /> <br />11. ~e Minor Variance Application with accompanying documents <br />are set to the City council for final action under a Blanket <br />Varianoe foraat. <br /> <br />12. ~e above statements are true and correct to the best of my <br />knowledge. <br /> <br /> <br />, <br /> <br />~A7ß2.. <br />./ Date <br /> <br />f/ - c1 /- j)-.. <br />