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<br /> <br /> <br />, , <br /> <br />CJ:!:"I OF ~..!..1.-u.E <br />2660 Ci.lic ~ite.r !Z"i'f."e <br />P.csc::"rill e , ra..r..neso-....a ~51...l..) <br /> <br />Fle..::se c.",:ec}; itE::i Gr ite::s fc::- ;..tlic..~ you ~-e appl~lL.-g: <br /> <br />;,.,/ ~.s..ry:.r Vari~~; E11ild.i-~ or nr-....n-~-.....~rize:i pat::~...;aY <br />- Mi.n';)r Variance; DriVe'N-ay <br /> <br />$5:)_00 <br />$25..00 <br /> <br />PliZaSe o:::i:!plete fo~ by typi.~ or prir:-~in::! in in!-- If <br />insufficiSlt, use additicnal shee'tS, k=yi.T1:3" infor::Hticn to t.l"le <br /> <br />1. D.o,,,,,ti t:, F..:",,,-S-C'V\ <br />~-e at {.......ner: In...''"St) :td.l.a-:1le) <br />.- "~i}f.,...,-, <br />/ 'U- I .."to'; - C VI, , 1\ ;:,' <br />.: <br />(No. am. Stree,;:) <br />......' <br />!\' { e y--s !) v, <br />(Middle) <br /> <br />t...'1e spaces p1:"C'.rided are <br />r.......uer .; tem nu:r""..e...>-s' <br />~..~. W'1o..__ b 3~'- 7-~% <br />H '+9 {) - ('N,-;.s- <br />i.l.aSt) lH1one} <br /> <br />-- <br /> <br />5$'/1 "3 <br />(state: , , (Zip) <br />\Ai- L.s8-1.3!.f.b <br />rl - ~ '-'-7"D - 'il';: -] ,- <br />.... I _- -..; <br />(L."I:::.-t ) <br /> <br />4!. <br /> <br />25-9(1 ,\J <br />Add.rP-ss of O\.ner;, <br /> <br />" <br />,; <br />>cV' i' ~ <br />(City) <br /> <br />HN <br /> <br />3. <br /> <br />L,;"1 i <br />",- <br />a ~'\ : ". ~ <br /> <br />-" <br /> <br />(Fi-.'"St) <br /> <br />(fha."1e) <br />5::,-{ ('3 <br />(Zip) <br /> <br />4. <br /> <br />Name of Applicant: <br /> <br />..., ,--0-, <br />J-J 17 <br /> <br />....."iN <br />, ! I ' <br /> <br />r~ ' I! <br />f1.i;J\.'Y, 1/ C <br /> <br />T"i <br />/ _.' ,L i "+i,; ~ <br />~ ~--' P\ ~-_; ~ l: ~J\ <br />Ad.d..~ of A{:plicant: {~;o. ~rrl St:r~t) <br /> <br />\i <br /> <br />(Cit'~~) <br />tr"} ,__ Ii M' <br />(\c:;,-\(./{~ 1 t.!:/'/. <br />, <br /> <br />(Sta::e) <br /> <br />5. <br /> <br />~1.lf i'1,f!4..I)tJ A"'e <br />St...-reet Add..'"'e-~ of Pro~ti~ Involved: <br /> <br />~. <br /> <br />Cc::iT-lett" I.egal ~ip::,ion o~ Prcpert-~, Lry,,~lved: <br />,..1 " {' k L,'.. . ,'-' r ... '~ . J ' , 's'" <br />~ _ J I '" :;, ~ . f'.. \.. -" . 7 . '-}.-. . "-,,.i.- It ,> 0 <br />t<.~ . /.. .;- i, /T 'Ji C -+'qj. <br />. '-((..,>.~... _.c'l':~""'~r I"" f'~,--' <br /> <br />Lc./ <br /> <br />CL",-K.' <br /> <br />Lf <br />, f <br /> <br />';( <br /> <br />8. <br /> <br />PresP..n~ t:se of Prcpe...rty: <br /> <br />I . <br />V':<<:L'O, f- <br /> <br />9. Prese.."lt Zo~ of Property: <br /> <br />10. Varia.J')'.7.e is req'.1est.ed f~j tl",e foll~,"'in:J s....~....i:::n(s) of t.':e cicy cOCo' <br /> <br />11, Infc.a:ntion ~;b.id1 J:iJSt re suh:1itt.crl for all arpliCJ.tic:n>: <br /> <br />A. ~;::.i.;.:..~:~:-:::.:-;::: ::':.:-::: <br /> <br />B, 8', X 11'! Site Plil.'"1 s..':C'."i.."B prcrer=; li..~, a."rl l0C.3.ticn of all existing aro. <br />prc~--d i:.:prc:..e:;'€..~ts. <br /> <br />COo ~"rit-~..."1 a~rt:\.~ f~ ().,,-n8.l.-S of ~dj3.~t. cr r:c.a.~\.' prc:pcrtip..5 affec+-~ by ~1e <br />'\i'3.ri:J..'1L"'E! ~--.:.cst',. <br /> <br />D. <br /> <br />'Wri:::t~ S~....J.t.C'_~~t. fl""C:7t t~e :3rP.lic.J...~t c..'Pl~L~i..t'1 .~'r't:.y the \'Q.riancc <br />a.rd ....1.v.:~ Z""'..~\t""""~~~ arc p::T'~~~,::. <br /> <br />15 nec~~~'.""f <br /> <br /> <br />