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<br />CIT'1 OF BX;E'.T~
<br />2660 Ci'Jic Cen-:.er Dri'.;e
<br />Rcse-l' 'Ie, ~1ir_')e50t3. s::- - , .,
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<br />Please c:heck ite::: or ite.~ for ..nich you are afPl'z'ing:
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<br />-L Mi110r Variance; B.rild:in:j ar oor:-::otorized pat..;':-..;ay
<br />Mi."'IOr Vari:u1ce; Drive",-ay
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<br />$50.00
<br />$25.00
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<br />Please CX3'!plete forn by typify; or pri..."1t.i."B in ir.k. If
<br />i.~-ufficient, use additionaJ. sJ'leet5, keyL."">;! infD4'.aticn to the
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<br />t..'12 s:-...aces providerl are
<br />prcper i te:I1 nu:r.be...rs: '. -.,. '
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<br />1\d.dres.:5 of o..7l€r: (No. a.-xi S~t)
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<br />Na..-e of lq:.plica.'1t: \fl.rst)
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<br />{State.} (Zip)
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<br />'(I.as'c) .. (Fhone)
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<br />(S~'t.e) (Zip)
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<br />(City)
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<br />{Hiddle}
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<br />4,
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<br />A:Jdress of Applicant: (Ne. and StrGet)
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<br />(City)
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<br />5. 2.~C1~~ J\' oJ\" A\}f.'~'l'("'
<br />Stree~ Address of Prop:!rty Imicl';ed:
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<br />6,
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<br />~:lte }.ifl?flr~ .I:E...:;cripticn of Property m-,olved:
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<br />t' _ - (., I!/ -",1 L. l
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<br />8. Present Use of Propert.y: _.5::-::'IJc:,\l;\,\\
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<br />9,
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<br />Pres€>~,t ZOnl.."XJ of Prcpe...,-ty:
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<br />10. VariaJ'lC(.>, is ~""Ueste::i frc.':\ the fell owing s..<>cticr,(s) of the city ~e:
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<br />11. Information .t-Jch I:USt be Slmit:tcd for all ~li:::1ti~:
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<br />'A. ,i\ppliCJ.ti.:):-'! am fee
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<br />B.
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<br />3.dj :1C.(',;.t or ,,eart~y p:q:'€rtiQS affC'.-:'"--ed by the
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