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<br /> <br />.. <br /> <br />.i , ~. <br /> <br />CI1Y OF ~ <br />2560 CIVIC <Em:R OOIVE <br />ICSEVII.U:, HINNmm\ S5li3 <br /> <br />Please check it6:! or items for w'hich yoo CL.-e ar.""P1yi.'1g; <br /> <br />-2L Miner varlim::e; 9.liJcii.."'J3 or oon motorize:) patlTW<iY <br />_ Minor variance: Driveway <br /> <br />$SQ.CO <br />$25.DO <br /> <br />Plea...<:e caI;Jlete torn by t}'pirg or printi...~ in ink. If the spaces 9rovideri a...-e <br />insufficient, use acnitional sr.:eets, k2y~ :L'"lfom.atior. to the p~ item rr.J!!be-cs: <br /> <br />1. <br /> <br />k.C'bb <br />(}tiddle) <br /> <br />(!.a::.-t i <br /> <br />~3/-i/7{) <br />(Thune) <br />~~//3 <br />(Zip) <br /> <br />D.Bru..ce,. Md. ..)L\\'\e.t L <br />Name of Ow11&: {First) <br /> <br />J7S'l/W. m; j/!..t)~()d Ave... <br />Address of 00Ine:r: (No. an::! street) <br /> <br />~et};/Ie., <br />(City) <br /> <br />,1/ IJJ <br />{state) <br /> <br />2. <br /> <br />3. <br /> <br />~tlMe... <br />(Na:.:-e of A..'Jf>licar.t j: (F~r.;t) <br /> <br />( R1cne) <br /> <br />(Middle) <br /> <br />iL3st} <br /> <br />4. <br /> <br />.5 'tme.- <br />(~ of Awl.): (No. a."'rl street) <br /> <br />(st,-,tej <br /> <br />(Zip) <br /> <br />(CiLY) <br /> <br />5. ~tbe.,... <br />street ldiress of Property Ir.\!olv-ed: <br />6. ~lete l.aJal Descriptior. of ~i Im'"Olv€rl: D "..J '1-.l 3 - J 3 -DOh] - 3 -R <br /> <br />7. Present Use of Property: kL- <br />8, ~..n:- ZOj1i..~ of Property: R - \ <br /> <br />9. <br /> <br />Vari~ is ~--uested frcJ!l the follcwil1g section(s) of the -::ity caie: <br /> <br />--- <br /> <br />1Q. Informatioo ~.idl 'mst be sul:InittErl for all arplimtirns: <br /> <br />?\.. ,h~'l k.;;t'ion a..-n Fee <br /> <br />B. 8-1/2 x !.l" Site Pla..'l shcwi!1g prq:~rt'j hnes, arrl loc.ation of 3.11 e....:isting <br />C'~Y).~ Pt"OrT"<O.."€d ir.p~'E:IT~ts. <br /> <br />C. w'ritten af+,roval frct:! CM'!1erS of adjaC€:nt or nearby p:-q:-ertJes a:fe.,::ta::l by <br />the varian.::::e reque.,-t. <br /> <br />D. Writtf.'..p s<:.aterents fr-!'.Xn the applica:1t expla-",.~;-(} \>.'hy t,'Ie vii.ia.'IC.e .is <br />neces..<;.3J,Y arC ..h.'lt h..'D:ds.'I ips are pre..seJlt. <br /> <br /> <br />, . <br /> <br />