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<br />CTIY OF 1aZVILIE
<br />2660 erile CEfiER IF..IVf;
<br />Ia>E"JI:IL'S, ~ 55lJ3
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<br />PI east :::heck item or i'tems for ;"hich yoo are aF'PIyi.,<;:
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<br />r-,i no~ Varia."1Ce; B.lildi.~ c:::- n::.n n:::t.o:::-i:::Erl p.~t..'T..;ay
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<br />PIe?.5e c::a;plete form by typing or print.i.~ in in,l{. If t:he spaces p..-ro'.lida:l
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<br />NaI!P. of o..n<>...r: (First)
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<br />Address of o..,-ner: {Nc;. am St..-reet)
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<br />S-...reet Address of Prc;pe.rty Involved:
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<br />f'resent Use of ~....ty:
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<br />8.
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<br />1'resent Zoni.-q C'i Property:
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<br />9. VariiL-ce is rr.quest'..ed from t.'1e follcwi..--q ~ion(s) of tr.,e city coj,,:
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<br />In.fOIllaticr: .tU.d11211St be sulDitted for till awlialt.i.:rs:
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<br />{!bane}
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<br />(Zip}
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<br />B.. 8-1.- 2 x 1111 Sit-€: Plan s."1~-:ng P~f .i.~cf?$.; 3J"'}:i lo:..at.ic..~ cf ...:11 e..'Xlstiaq
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