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<br />CIT'i OF ~;;TIli:
<br />2660 ci';ic Ce.'1t-=r Drive
<br />Rose;ille, rtir~!eSO"'L3 5S113
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<br />Please ~..eck item or its:s for ....t-.ic:.'l }'ou ale c.~lyi..T1g:
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<br />'-!' ~ Vari-3I1Ce; B.li.ldim or non-ro+-...orized tJath'.,aY
<br />- Minor Variance; Drivew"aY ~ ~
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<br />$50.00
<br />$25.00
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<br />Plsasa ~lete fon::. by typing or printinJ in ink. If t..'le spaces provided are
<br />insuffici~, use ad:iitional sheets, key:i.~ ~~o~tion to the prq:er item numbers:
<br />// I ~- - , ~ _,
<br />,o. -....-- . _.. IJ ~..../ _ /",' C'""c .'~'_~ ~ J"
<br />1. mne<'; ~'~fj ..' ~,. {Hrs~} ;,'.:' -(~t-l~<::) u' c {~S"C} ~ 1~1 -,' (~
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<br />.Mdress of CMner: (No. aid Str.:::etJ (City)
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<br /># ~2 .> 5 ~- ..;-;...-:'-:- ./~.~ /<' ,--"I .:.." 5 F; ..<-: ,-'
<br />Na1!e of Appl.i.cant: (Fi..'"St) (Mid1le)
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<br />{State}
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<br />(last)
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<br />(Zip)
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<br />~Zip)
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<br />Miress of 4Plicant: (N:J. am St.."'eE.t)
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<br />(cit"f)
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<br />St..'.eet AdCress of Prcpe..Tty IrT-lol ved:
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<br />~lete legal ~iption of Property Involved:, .-')rC.:- '.~v ...".:. 7..-'-'-' ;; ']
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<br />8. Present Use of Property: ,---1' ::or~'C~
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<br />9, Present Zonin;J of Propert'j: '~i-'S, ..~ ~-, :..~..:_.
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<br />10. Varia..-x:::e is reques-...ed f::om th~ followiJ'lg secticn(s) af the city o::x:ie:, ?,~,s:..e"" r i
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<br />11, Infon:ntion 'oot:5.ch uust be :'>U!:ci.tted for all awlicaticns:
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<br />A. Aptl i::ation arrl Fee
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<br />B. g', x U" Site Plan s..'1C<'''lrq prq:'E'.rty lines, ard lcx::.:>.ticn of all ax1.sti..'1g ani
<br />pl.-opoc..e:i iIIp!'C".eJre.":ts.
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<br />C. io.'ritten apprcval ~t<::':\ ~-ners of adjacc..~t. c.: ~..rt:,: pre:- rties aff~...ed. by the
<br />va!.'ia.."1Ce request.
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<br />D. written s"-..3te.::C,l1t f1.~'::I the applic.:mt c..'.-pbin.i..."X) ",'hy the vari;mc~ is nece>s5ary
<br />arrl ,,;hat ha.."1i:;hips are p~,eI:t.
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