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<br />CITY OP 80SBVILLB <br />2660 CIVIC CBMTBR DRrvB <br />ao8BVILLB,KIIDIJ:80D 15113 <br /> <br />__X_ Minor Variancel Driveway <br /> <br /> <br />:J6)~ (.1:; <br />t.lD I <br />fC'O ) <br /> <br />NO FEE <br /> <br />Please complete form by typing or printing in ink. .If the <br />provided are insufficient, use additional sheets, keying <br />information to the proper item numbers: <br />J,..,._l_,-e ~"1:t u- .eDt.<.6 < 70S <f'" /f4 ~s <JI'Z, <br />1. flA;J- V- vL<<t/\ A--; I c..-c . 1--1 u. !. ~ <br />Name of OWner: (First) (Middle) (Last) <br /> <br />I {p1. T u.vu Sf. Os..sc..V <br />Address of owner: (No. dS reet) <br />M fK-J K..-t:~ L-t 11/.., - u. 'f.I---LI.., ~ s <br />3. ~~U-6--e ::J'O ~~~ l-t 'H-u~.r TK. <br />Name of Applicant: (F rst) (Middle) <br /> <br />spaces <br /> <br />L/ l"i'- >-L! 71 <br />(l t I <br /> <br />(Phone) <br /> <br />2. <br /> <br /> <br />S-S 1/..3 <br />(state) (Z1p) <br />L( f J>- e:<l./ 7/ <br />\Last) (Phone) <br /> <br />5. <br /> <br /> <br />4. <br /> <br />6. Complete legal description of property involved: <br />.2,l.N. ''5-zq-2.3-4-I-003~ <br /> <br />7. Present Use of Property: Re.iden~i.1 <br /> <br />8. Present Zoning of Property: 1:1 <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. <br /> <br />The above statements are true and correct to the best <br />knowledge. <br /> <br />~a.~ <br /> <br />Signature <br /> <br />of my <br /> <br />L( - e;2 ~ ~ CI...J> <br />Date <br />