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<br />Please check iten or it..~ for wbich ~'a..i. are awlyin;:
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<br />_ Miror Varla..rre: ariJ.dL~ or rx::.n IID""...orized patlT...'aY
<br />~ Minor Varia.tee; r::riveway
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<br />Please ~lete fur.-~ by typi."JJ or print.inJ in irIk. If t..>J.c sp3.ces pr.:r.rided are
<br />insufficie.nt. use cdli.tional sheets, keyi;;g infomaban to the p1.~ item I"lU1ItJers:
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<br />Name of Q./ner:
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<br />Ad:]ress o~" 0iv71e:t':
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<br />(No. and Sb:'eet.)
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<br />(1Iddress of Appl.):
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<br />(No. am. street)
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<br />5. 305" E!",..,..
<br />street Address of Property Invol voo:
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<br />6. O%plete Legal Dascriptio."1 of Prcpert'j ~olved: I j - 21. 2..3 --/3 -t')ot:~
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<br />?resent Use of Pt"C{.Iert}':
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<br />Present zoning of Prq:erty:
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<br />9. Va.;:-iar.ce is requ~-ted fro:n tl-Ie follewing section(s) of t.'1e city OJde: /3 05'"0
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<br />10. InfonDatian ",,"'rich IiI.1St be suh:njt'"..cd for all awlications:
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<br />A. Appllc.:n:lOn and l-"-"='
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<br />B. 3-1/2 x 11" site Pi&I1 s.'1cwl.ng prcp2rty li.'1eS. <::00 locatio:1 of Gll e.xist.i..'19
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