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<br />C::-Y ':r- Lt.. ?CR::: <br /> <br />1-;;.& -lj'17 --1-"~ <br />COMM. DEV. <br /> <br />ZONING BOARD OF ADJUSTMENT <br />AP?EAL OF ENFORCEMENT OFFICER'S DECISION <br /> <br />---------------------------------------------------------------------- <br /> <br />OFFICE USE ONLY: <br /> <br />Application No.: 1fl. -(JP'I <br />Date Received: ~~/~1 <br /> <br />----------------------------------------------------------------------- <br /> <br />Applicant: <br /> <br />~"'\ A. 2. l' \J. Db..\ll-' <br />Name <br />'1 '1 ~ u ~. "~'f.. l~ LA 'Vel!. rC: <br />, <br /> <br />Address <br /> <br />PH: <br /> <br />4;/-0313 <br /> <br />I am the owner of the herein described property. I have authorized <br />to act on my behalf in this matter. <br /> <br />Owner*: <br /> <br />Name <br /> <br />PH: <br /> <br />Address <br /> <br />.1..aL..lTl,;- a ppeal in g the dec i s i on re ga rd i ng <br />~~.~ 4,10 of the Ci ty Zoning <br />this appeal in regards to the property <br /> <br />Street Address <br /> <br />or the interpertation of <br />Ordinance No. 1501. I am making <br /> <br />located . \ 'V., r lP 1'\ j J""'''l <br />w !-:j ~ :- -j .. C \,;.:J ,,1 . (./ I <br />Legal Description <br /> <br />at <br /> <br />( ) Site Plan () Hinor Development Site Plan <br />( ) Major Development Site Plan ( ) General Plan <br /> <br />A Site Pla~of the property is attached. Also, I have listed the <br />information requested below on the following pages of this form. <br />a) All facts concerning the matter that has led up to this request. <br />b) The type of relief I am seeking (setbacks, lot coverage, etc.). <br />c) The grounds upon which I am making this request. <br /> <br />* If applicant is NOT the owner, he ~ provide Authorization to act <br />on the Owner's behalf. <br /> <br />Date <br /> <br />5 ~ e. 4- f/4- C.t..L J I c II ~-r <br />Applicant's Signature <br /> <br />----------------~------------------------------------------------------ <br /> <br />OFFICE USE ONLY <br />Site Plan and Authorization (if applicable) attached? Yes ( ) No ( ) <br /> <br />Date transmitted to the Board of Adjustments: <br /> <br />~1 e e tin g D ate : <br /> <br />Applicant Notified of Date: <br /> <br />Board's Decision: <br /> <br />Approved ( <br /> <br />Denied <br /> <br />Notice of Board Decision mailed to Applicant/Owner: <br /> <br />RECEIVED <br /> <br />C I P :; R '\089 <br />.""\ I. I '..)'" J <br /> <br />6 fM <br /> <br />~CDE ENFORCEMENT <br />