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<br />-'-. <br /> <br />~ <br /> <br />.. <br /> <br />CI:'.lY OF KEE".JIil..E <br />2660 ClVIC mlilR IEIVE <br />REE\7IUE. MDmFSO!A 551.lJ <br /> <br />PleiL.<:e d:-ec:k ite:! or items fer ....hic."", yoo a-.-r-e ~lyi..""-:l: <br /> <br />_ Miner Vari;m::e: arildin; or non r.c:t:::rized patlr.-ay <br />-+ Minor- Var..,a!~; Drivew--ay <br /> <br /> <br />$50.C,&- I.!t. .- r L/.,.,:...~ Co <br />~::.9C; ,,~ - <br /> <br />Please ~ete fo..-r:n :,y ~i.~ or pr~--:-~'1g in ink. If t.'";.e spaa=s pr;r.1ided a..."""e <br />insufficie!lt. use ad:liticnal sheets. key~ infc.."T.IatiC!l1 to the prnper ite:1 !3J!::bers: <br /> <br />j-:JU5SfLL <br />NaIie 2- o.-ner: (~) <br /> <br />1. <br /> <br />i <br />........~ <br />(lo'.iddle) <br /> <br />".;fi:--4 <br />l_' ,... ; '::>', , , <br />(~) <br /> <br />2. <br /> <br />.:j /0 ,,- ~ ,r._ - L ~ <br />~ (... ~ __ {." j ~ -..;' .l"'~. ..:...;. ~1,' "". <br />kXiress of ~'I1er: (No, an:1 straEt:) <br /> <br />/i; ~f< <br />(Stat€) <br /> <br />.r . '-. ~ I' , : -' ...... <br />. \ _ _' __ J -. _...._ <br />(City) <br /> <br />3. <br /> <br />i;' ~S ~- ;: h.; <br />(Name of AM>lica....1t): (Fi..""!',~! <br /> <br />t/J.-:-!::.. <br />~Cit:y) <br /> <br />r)' N <br />(Stc\tej <br /> <br />'~. <br /> <br />-.... <br /> <br />.. , <br /> <br />k' '-, _--: .'7' <br />(last) <br /> <br />t}!.iddle) <br /> <br />,. <br /> <br />';:}.'-' :..: ~ c--""t < .~. ~ .. 'IV'" ;; i", ~ <br />... ..r ." -'"'" ;-....~~ j,] i .:-r ~ I I Y \ -- <br />(Add..-ess ai Appl. j : {Na. a.-.::!. St..'""eet) <br /> <br />5. Z. .:> 5" 3 C /e-s ,.,~., ~+ <br />street hid..-ess vi ~l L-wolvoo: <br /> <br />4-"{"J- 73YC <br />(Fhonc) <br /> <br />r'...- ,- <br />.~ ~ /~." ~ <br />(Zip) <br /> <br />7- ~-7 ;-:'3 ~'t:.' <br /> <br />(Rior.e) <br /> <br />-' ":>-// "3 <br />{::ip) <br /> <br />6. <br /> <br />a::mplete ~ c.:scrip""~on of Prcp~rq.' L.-;\;Ql....ed: <br /> <br />/3-z,9-Z3-/2.-0031 <br /> <br />7. <br /> <br />Present USe of F!.._,t""'....'..t:y: <br /> <br />l'-/ <br /> <br />8. <br /> <br />Pre:;cnt Z.ani.ryq of Prt.~; <br /> <br />"-i <br />Jr . <br /> <br />9. variance is re.::r~ted !~ ti'.e fcll~i!'g secti..)l';(s) cf the city cOOe: I ~ est:> <br /> <br />---- <br /> <br />10. Infc..r.:ntim 1oIh.id< DJSt be sumitt.irl fur all ~iicatia1S: <br /> <br />A.. l\.cp1...:..c...:r~.::..~ arc :--ge <br /> <br />50. 3-1':2 x 11" Sit.e Plan ~~~-L-':; p=--~-ty 1 L-,es a a.:.td lcc..)- <-:.;'; vi i'o.J.l e:.'i:istia-g <br />~~ P~p::st-j iz:-r:~..'e-.~;,-:..s.. <br /> <br />C. Wt"it~G1 .~;:~~~~: :~ ..:\t.n2":'S ct .:)d""13...::r~'t .:;!"' t~~::-::y rrc~ics aff~()j by <br />t.."':~ V:lr.:.:l:':; --C n~~~L ~ <br /> <br />[). ~~Ti~~c...l ~~t4''te.-')(:;"i'':~; ~~, t-~~ "~rpli(::..,"'1.';':. ~X"F}.)~~:m .....I.~ ~""~ ...:a:-i~:,;c is <br />r~"C..::...'s.:l:-',," ;.~J~ '.,,:7:.1": -...:.l-":"::':i:~ ,~:.-e P::-~___~""'it:.. <br />