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<br /> <br />ClT'l OF la>E'.TII.l.E <br />2660 CIVIC <EY1'm mI\'F.: <br />H:SEVIIU:. ~ 551]3 <br /> <br />Pleasa c:::heck item ;:rr it.eI:s for 'Mhictl yro. are afPl:z-b:;: <br /> <br />Hjnor Var.:ance; Buildin; or In'! m:t"..,::);::-izErl patir..-ay <br />.J( Minor \1ari.an:e; Drive'wC!.Y <br /> <br />~ -i ..... n . ~_ <br />~ "~"I~'CT V'-,__ "-- <br /> <br />Plense ca:plete form by t'jpin;J or Pr'....ntirg in ir.k, If t..'-.e spaces provided are <br />:-..sufficient, use additional sheets: keyirq i.."1fa.."'I!Iation to the proper item B.C:ters: <br /> <br />..... <br /> <br />i1/1,,-1 If:.' ..s <br />!fame of OWner: <br /> <br />,~ 1 " ~ - .,- - i't <br />J "" \j t., ~ : A I) <br />(JoI..idcile) , {last} <br /> <br />(Fhcne) <br /> <br />~ i (j - ~ S (3 <br /> <br />(FL."St ) <br /> <br />2. <br /> <br />~ .. J' ",-. fr'i': L-. L. ,17,' P: :". . .:.. \. '- <br />~ ~f ~; ,r(Nb.. ani ~Stree~)' "- - <br /> <br />LC //\i'./ <br />(State) <br /> <br />..... <br />__1 ....1 i i j <br />(Zip) <br /> <br />/~L ~- .~-;...: v' <br />(City) <br /> <br />3 _ < ;:.-' "'_: :.' i J.i -to:;. ;; :- .I1J . A A <br />(Name of Awlicant): (First) <br /> <br />c~ <br />,-) ,\ <br />(Middle) <br /> <br />~; 1 -,l . 1 ~)"j 3 <br />(~) <br /> <br />L.; (-' j r ,;-_, <br />\-,ast) <br /> <br />4. <br /> <br />:::~. /~ .\ 1~ t~ - {'I A i~"f L/V <br />{AWress of 1:fPl.): (No, a..-xi 3t..--eet) <br /> <br />(~...ate} <br /> <br />(Eip) <br /> <br />: 1'.. ..~ <br />(City: <br /> <br />.I S <br /> <br />I. , <br />.,J ... <br /> <br />r.'~ S <br /> <br />I "... !-f":"1 ~; ~ <br /> <br />5. '2. f9 AI, /Jtc C #l'r~H ~i ..,,1. <br />street ~ of Property IrNol"JEd: <br /> <br />6. CoIplete Legal De.scripticn of Prq:-e..'ty Involved: /3-u-z.J-!f-Oo/~ <br /> <br />7. Present Use of Prc.perty: # - i <br />8. Present Zoni.?J; of Prr.pe..-ty: tf - ! <br /> <br />9. Variance is requested from. t."'le fcl.i......'i..--q sectioniS) of tl':.-.? city cod'" I) OS'o <br /> <br />10. Infcmatioo .men mst: te sul:mitlLrl for all a:r:plicatia-G: <br /> <br />A. <br /> <br />. -' <br />~..i....A.~'" v.a't a,....... ,,~...; <br /> <br />B, 8-1/2:-.: ll" Site Pia.") shC'.,;in9 pr-'....pe..-=-:;. ] L:t?-S, a..--rl lcc.3tic:1 of ?-11 exi3t.L-,g <br />3Trl prcpcse.j i!7"?rcr,,~{'.;:er:t.s.. <br /> <br />C.. ~"ritte.'1 apprcv::11 f~ ~,.-net"S c;f ~dj.3.~t (:,r ':'1earby p~rti~c; aifec:ted by <br />~~e vari~.-....e r~ r~~.st. <br /> <br />D. <br /> <br />~.:ri'tt:~ st.3L.:.:.;en~ :rr:f':1 t:~e t1ppl ic..~t.. <br />:--0--'~--.s$'1r:- ~ .....T.f;~t h.].L~i?3 are ::::-0~cit. <br /> <br />. ,,., <br />......&. ,~"" <br /> <br />\:ari~~ is <br /> <br />C'~:Pl3L~i;-iJ <br />. , <br /> <br />~,\'~y <br /> <br />/ <br /> <br />j <br /> <br />