07-06-95 Regular Meeing and Public Hearing

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• C IT'S OF ZOrtrnlG BOARD ~13RT_o~1CE L~n pnRTE - ~~ - OF ADJUSTMENT - ~~~~ REQUEST ----------------------------------------------------------------------- Apolication No. S - OFFICE USE ONLY: Fee: X100.00 Date Received: Receipt No.. NOTE: This Fee is Non-Refundable Regardless of the Board's Decision. ----------------------------------------------------------------------- Applicant: I am the ~it/ ~ /a ~~ ~ ~ ~iV~IIIL /Vf~fQ /~ Name Address owner of the herein described property. I to act on my behalf in Owner*: ~~ E Name Address (~~'~i~D - ~~a~ P H : f~ ~74 - 9G}/~ have authorized this matter. PH: I am requesting a variance to Sect. ~-~~- ? of the City Zoning Ordinance No. ~01. I am requesting this variance for property located a t A2,~2a2S n/~ 2da ~L .oe.c~ Q~~a ~_.cn~ 1~ ~ Street Address Legal Description (~U Site Plan ( ) Minor Development Site Plan ( ) Major Development Site~Plan ( ) General Plan A Site Plan of the property is attached. Also, I have listed-the information requested below on the following pages of this form. a) All facts concerning the matter that has led up to this request. b) The type of relief I am seeking (setbacks, lot coverage, etc.). c) The grounds upon which I am making this request. ~ If applicant is~NOT the owner, he must provide Authorization to act on the Owner's~f. ~~~~`~1~,.~~ ate Applicant's Signature OFFICE USE ONLY Site Plan and Authorization (if applicable) attached? Yes (~) No ( ) Date transmitted to the Board of~Adjustments: ~ ~ Meeting Date: z-7 S Applicant Alotified of Date: ~'.R- Notice to surrounding property owners - Date: ~T~±..9C:','.',y^ <y~ ~~ ea...at •,¢e••~e ~g~?~. Via-, .' "~:;.~. Board's Decision: Approved ( ) ~ Denied ( ) Notice of Board Decision mailed to Applicant/Owner: