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Ko m t� I'm I I <br />IR 9 immmm_ <br />Applicant: Representative of D. <br />N <br />I am the Owner of Me berej <br />Rol-too, to act On w 4ehnlf in this <br />Address <br />T am requesting a variance to Sect. <br />Code of Ordinance. <br />I arn reguesting this varinnee for p <br />(X) Site Plan <br />() Major Development Site P12m <br />Street Address <br />Mnor Develupment Site <br />General Plan <br />Office Use Only <br />Site Plan and Authorization (if applicable) attached? Yes () No <br />Date tra min itted to the Boa rd o f Adj a kments.- <br />meeting Date I Applicant Notifled of Date <br />lamlj� <br />property. I have authorized <br />Phone <br />of the City Zoning regulations Chapter I <br />I <br />Legal Description <br />Rm <br />