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<br />__."",..",.4 <br /> <br />. ~ <br />g ~? qlP <br />6,1' C\lP <br />~~J 6/ \'Y <br />~l <br /> <br />----- <br /> <br />CIft' OF JUmYIUE <br />2660 CIVIC aNI!lt IR1VE <br />HJSEV:IUE, ~ 551.13 <br /> <br />Please cheCk item or itens for mic::h ycu are ~lyiD;: <br /> <br />Minor variance; arl.1din:J or I1CI'l DDtorized pathway <br />~ Minor variance; Driveway <br /> <br />.. <br /> <br />$50.00 <br />$25.00 <br /> <br />Please oarplete form by typ:in:J or printin;J in ink. If the spaces provided are <br />insufficient, use acXliticmal sheets, key:in:J infomation to. the ~ item mnnberS: <br /> <br />1. i1/tH,:JEL /ILl-lEAl AI)/AJE.. 6'?'?-J'?S..r <br />Name of owner: (First) (M:ick1le) (Iast) (Rlone) <br /> <br />2. /i./()5 BEL /1'1tJ#1 ,L IV W R05El/ltL- - inN' 5"5/1 <br />AddreSS of owner: (No. am street) (city) (state) (Zip) <br /> <br />3. SJ!lmE- <br />(Name of AWlic::-ant): (First) (MicHle) (Iast) (Rlone) <br /> <br />4 . $/1 /?"1 E- <br />(AddreSS of AWL) : (No. am street) (city) (state) (Zip) <br /> <br />5. S/"fhte- <br />street AddreSS of Prqm1:y Involved: <br /> <br />6. carplete legal Description of Prqm1:y Involved: <br /> <br />7. Present Use of Prqm1:y: RF511JE"AfT}/l1- <br />8. Present zOl'linJ of Prqm1:y: r<~~/DEII/TIAL <br />9. variance is requested iran the followi.n;J section(s) of the city cxxie: <br /> <br />10. InfcmlBticn midl D1St be sutmitted fqr all ~: <br /> <br />A. AWlicaticm'am Fee <br /> <br />B. 8-1/2 x 11" site Plan show:in:J prq:erty lines, am location of all existin;J <br />am proposed iJrprovements. <br /> <br />c. written awroval iran owners of adjacent or nearl:Jy prcprties affected by <br />the variance ~. <br /> <br />D. written statements iran the awlicant explainin;J Wny the variance is <br />necessary am what hardships are present. <br />