|
<br />
<br />
<br />CITi OF ~'TIli:;
<br />2660 CIVIC ~ 1P~1':
<br />1t:SE\.'IrrE, MD~ 55113
<br />
<br />Please ~'Ic iteC. or items fo~ ..ru.d1 ']-a..l a..-e a;plyi:.>;:
<br />
<br />Mi..~ VariaIx::e: arilding or n::!1 r:c"'"....orizEri pa-r-'T.;ay
<br />~.incr Varia.;oe; Driveway
<br />
<br />~g.AJ<) 61-,' A";K.~~
<br />~Q0 :;M!A-NLC
<br />
<br />Please c:a:plete fc-TTo! by t:}'Pin; cr pri,-:ti.n.3' i" irJ.:. If t.~ spaces p~....idej a-T"e
<br />ins'..1ftidern:, use additional sheJer..s, ~i..rr:; infor::at::.cm b.,..., t.t;e prcper ita nucOe..--s:
<br />
<br />1.
<br />
<br />.t- ;; ;Z,.1 i)t:. -;-. ~ t'"
<br />Na!:Ie of ~~:
<br />
<br />:~
<br />.- 't .'\,...
<br />
<br />~' s-- ~~7 "' f~' .;J ~~- ~
<br />
<br />__ ',l:.t;.
<br />
<br />(Fi...'""S't )
<br />
<br />p..'.iddle)
<br />
<br />(1a.<>t}
<br />
<br />(R-.ooe)
<br />
<br />2.
<br />
<br />..:... C ,-'
<br />
<br />,[
<br />
<br />" ,
<br />
<br />,or.
<br />
<br />." __c.::
<br />,
<br />
<br />(~...c.~)
<br />
<br />{Zip)
<br />
<br />~..-es,s of .3.-ner:
<br />
<br />(l~. a..~ SLre=~)
<br />
<br />(Lty)
<br />
<br />3.
<br />
<br />c:: ,''"',' ,-
<br />,J/'.f,'- i_
<br />(Na..-:e of Appiica."1t): (First)
<br />
<br /><, r:2 ,,< C
<br />
<br />r.-'.iQ:ll e )
<br />
<br />(L:st}
<br />
<br />{P.1COO)
<br />
<br />--
<br />
<br />t!.
<br />
<br />(Zip)
<br />
<br />(Address or l<-rpl.):
<br />
<br />(No. arrl St..-ee!:;
<br />
<br />(City)
<br />
<br />(State}
<br />
<br />5.
<br />
<br />_~ ,.~ ...~ t:'-
<br />
<br />S-..rEet Ad:ir::ss of ~"'tf rr:-,,-olved:
<br />
<br />6. Cl:r.plete I2gal ~s:::dption of Prq:Jerty Ir,\'ol\r-a.:i: L.v 1-"" D/oe.~ <-I
<br />-L:.'1'::"'~""'i"'c.'..)5 ,cd:'C"'/ -!).......... C.~~~~~'i-~ 'r r;.,:~~-/'-
<br />
<br />~
<br />I.
<br />
<br />Present L'"'se of ~,...ty:
<br />
<br />.::: .
<br />- ,," -" /'\..~., / 't~
<br />
<br />,-':; ."\; ,
<br />
<br />8.
<br />
<br />Preserit Zcrtin; of Propc....-t}:-:
<br />
<br />K- \
<br />
<br />S.. \7ariancc is reqt:cS'too f~ t-""'~ follawiN; sect.i~~!s) of t.he city. ~: 'ZD~J;~G i3.,:~\c
<br />
<br />---~----
<br />
<br />1'1. Ir.fortilatim which wst be ~tt.oo for all awli~tioos:
<br />
<br />A... At'ip:'~(~t~..cn ~")-i Fee
<br />
<br />B.. 8-;"':.'2 x 11"' Site ?1.&~ s.~-",.;~~~ p~"'"t). li11ES. &..-rl ~.x::ti~:1 af all existi...~
<br />zn...i p~1 .i...~~",,,,(\~i~..
<br />
<br />c. r.""rl~'t'~., arr-:7,:al f~ C'..~~~ :f ad~:1-c:c...~t cr nea:-t-,~~. p~;:---.c.rt:cs ~ff!"\.:-te::i ty
<br />t.~e \.-dr~~--c t~7~~-t..
<br />
<br />L"!.. ...."ri 'tten ~;t'.a.~c-~;.t..5 fl."':::""'! th!...~ ..1rr<t,l ic~~t i.~XF::)i:;.::-).1' \,.'t~\. t.";~ v,1..ri.3~-.c is
<br />rx."O=--~~.],ry a,;"')j ~,,--;--~t ;~1.r~,,"1i~~ ,,~r~ ~-:-~.~_~~t..
<br />
<br />
|