Laserfiche WebLink
DEC-17--2012 16:54 Fromm <br />CITY OF X,& FORTE <br />ZONING 130,E OF ADXSTMMNT <br />VA-MANCE REQUEST <br />To:18886440505 page:4{s <br />A.pplleation No.:d-- <br />O CM USE QNLY: Fee., $150.LO note Rece�uEa: � <br />Receipt No.: S3 <br />ote. This Fee is Non -Refundable Regardless of the Bos.Yd'S Decision <br />Applicant; 'A®(Z��1� eA)A L�f)& <br />Name <br />Add ess <P W-7 Phone <br />I ain the olvzier of the h,4i'ein described property. I have authorized <br />to act on my behalf In thla matter. <br />Name <br />Addarewt <br />Prone <br />I am requesting a variance to Sect of the Qty Zoning regulations Chapter IOb of the <br />Code of Ovdinanee, <br />I am requestipg this variance for property located at .(4(5 &Y'wAM <br />t ttt'e �V, <br />Legal Description <br />Ite flan () Minor 1DevelopMent Site flan <br />faj or Development Site plan j Cexsex`al Plan <br />A Site.Pjan of the property is attached. Ajsoj I have listed the i7[iforInation requested Below on the <br />following pages of this form. <br />a) All facts coacernLug the matter fat has led up to this request. <br />b) The type of relief I am seeping (setbacks, lot eovexage, etc.). <br />c) The ground$ upon lyllicli I ani mtajdAgth9s request. <br />if a0licant is NOT the owner, he niustiprovide Au Safi . act on �o O�mex's belxali'. <br />C3 <br />ate A liea�at's Sz uatura <br />Office Use Only <br />Site Plir andAuthorizaflon (ifapplicable) attached? Yes () No () <br />Dnte h•ansmitted to the Board of Adjustments: <br />Meeting pate: Applicant $odfied of Date. <br />Notice to surrouUdlrig iaxaperty owners- Ante: <br />Roo,rd's Dodsiom Approved () Denleti () <br />Notice ofDoards I)eristou mailed to A.pptcantlOmiert <br />