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<br />CI'1'Y OF 1t08BVILLB <br />2110 CIVIC CaR'1'aR DarvI <br />1t08ZVILLII, '1II1IHJ:80'1'A 15113 <br /> <br />e.:3 3 -03 <br />project 110. <br /> <br />j)6 ~ 1 <br />D0 <br />~t' <br /> <br />\ <br /> <br />_X_ Minor Variance, Driveway <br /> <br />NO FEE <br /> <br />Please complete form by typing or printing in ink. If the spaces <br />provided are insufficient, use additional sheets, keying <br />information to ~e proper item numbers: <br />1. 1(' S Cn' A) c <br />Name of owner: (First) (Mi le) (Last) <br />/ / ~ I 6ar rlCI\ Av[ ,I?oSlV/J/Lr /)I1N ~~/3 <br />Address of owner: (No. and street) (City) (state) (Zip) <br />~ s' GCU4 AbJ~L- lll8'7l/Ltf <br />Name of Applicant: (First) (~ dle) (Last) ,(Phone) <br />//61 ~~ ~ ~'55)i <br />Address of Appl.) (No. and street) (state) (Z~p) <br />) J c MrJ )' s- /) <br />Address of Property: (No. (state) (Zip) <br /> <br /> <br />2. <br /> <br />3. <br /> <br />4. <br /> <br />5. <br /> <br />6. Complete legal description of property involved: <br />P,I.N. /5 -.z.q-~'3-41- Ollld <br /> <br />7. Present Use of Property: Residential <br />8. Present Zoning of Property: B=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 />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 Bl&Bket <br />Variance format. <br /> <br />12. The above statements are true and correct to the best of my <br />knowledge. h11 ( ,Ih . <br /> <br />~ L f I ~ t:;~]--cr') <br />Signature Date <br />