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<br /> <br />'.,.'t <br /> <br />~....,;; <br /> <br />c:nY OF ~ <br />2660 CIVIC ~ !:RIVE <br />REE\.'::U.E. MJHe3arA 55113 <br /> <br />Pleas.a c:hec.~ i~ or ita;s fur 'oihic:il yea.. a..~ ~':'Yin::J~ <br /> <br />_ Mire.r Variance; arildirq or mn mt:.;:).."'"izErl ~tlr.;ay <br />-$...... Miror Variance; Dri"VE!'WaY <br /> <br />$50':'00 Ij/.~I<r P....'__ <br />~ <br /> <br />Please o::I!pl~ tam by typing or pr'..w~ in ink. If the spaces provided are <br />insufficient, use aklitiaal sheets, keying iIl.fc-~tion to ~ p.."I:p!r item ra:c:I'be..?S: <br />, IL"A- r C " <br />/65-'U'-' <br /> <br />-~~ . <br /> <br />1. <br /> <br />/" <br /> <br />!, <br /> <br />":::;. - <br /> <br />1 f< ,. <br />. '" ...... <br /> <br />p- <br /> <br />;.. <br /> <br />Name of ~ <br /> <br />(First; <br /> <br />(Mid:ile:) <br />J <br /> <br />{~} <br /> <br />(P!n1e) <br /> <br />2. <br /> <br />3~~;~-- l ~ <br />-.' " . ~';,.~....( /:"c'C, .Zc <br />~. am Street) (City) <br /> <br />(State) <br /> <br />J' <br />+~f. ..... <br /> <br />r-.,- t" """)- <br />.),:' i' > <br />(Zip) <br /> <br />Ad:m:!ss af Q.iner; <br /> <br />3. <br /> <br />!.,;4 ". <br />,i, f.t....-:~ <br />{Name of }\Wlicant): {Fi.rstJ <br /> <br />(ibooe) <br /> <br />J'. ~~/. <br /> <br />t~.~~c E~ S<:J <br /> <br />(Mia:;,le) <br /> <br />(last) <br /> <br />~. <br /> <br />~ ::;- !~ ~ , ~... j-. . ~' <br />.' - <br /> <br />./-' <br />" <br /> <br />-, <br /> <br />k.!: ,_'....;.-- ..: <br /> <br />-~--- <br /> <br />5. <br /> <br />(~ of ~.) ~ (}fe. a...~ Street) <br />"<-::;:; t~~,<. ~....."' <br />street Adiress of Prt:p:!rty Invt:>lve:l: <br /> <br />{Zip) <br /> <br />(City~ <br /> <br />(~w.t"...e) <br /> <br />6. c.t:qJle""...e I.eqal Description cf Prc:perti :i.mlt;lved: .'3- z ~-z. 3 - /Z, - ~on... <br /> <br />7. P.:ese.""It. USe of Prcperty: ,f - j <br /> <br />,(-1 <br />8. ~ Zo.-u..'1IJ of ~-ty: _ <br /> <br />9. Vari~T}Ce is requested fraa t..'1e toll~irF; sa...-Uo::(s) o! t.~ city crrle: /:3 ~.sD <br /> <br />10. Informatioo whidl ~t be subnitted fur aU ~liC3tiOOS: <br /> <br />1\.. i\pp'i~'-j1~.~~~ ~--.:: :'~ <br /> <br />B. 5-1.;2 x 11" Site Plan shJ,;ir.g F~i:y :":.i."'!t?S, 3."'ri lcr..aticn ~f :!L e.xist:ir!g <br />ard prcpc=~ i~!V\~-...t.s.. <br /> <br />~~.. ,,'rit+-~.n awr-J,"~l fr~ ~'!1€.....-S ~f adj~1(_x::r:'t cr ~r p~-ti€:S a~;f€ctaj b}'" <br />the vc.Liar..cc r~I...~'l:. <br /> <br />!). \"'ri~tc.n ;::"."1te.""X'.Jits fr-a:: tJ'.c a~li.:.J.."'1t c..'P1ainii,,? ..."ty the varia."A:C ~s <br />:-.ec;..?...-;"'~~r). ~~ ~h11: h.."L.-dships ~::-~ P!"eS2:;.t,. <br /> <br />