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VARIAiNCE APPEAL NO. / Public Hearing Date <br />DAINE COUNTY BOARD OF ADJUSTMENT Date of Application 7-d-07- <br />.�. Property Owner (as shown in tax roll, or note why there is a different owner -e.g., recorded land <br />transfer not yet shown in parcel book or computer record) <br />Name(s) 20 6 r 1Ca re, <br />Address(es) WT S -35-49T <br />Phone Number(s) 60B 197-3- 7 L77 <br />7 <br />Notes <br />q Applicant (if different than above, describe relationship to property owner: <br />CIRCLE ONE: Contractor / Buyer / Family Member / Other ) <br />Name <br />Address <br />Phone Number <br />Notes <br />Applicant Signature <br />Q- Location of property which needs a variance <br />• Address 14,2-� Z 35A Lot,- V,,,- <br />• <br />,f• Tax Parcel Number(s) 3 7 <br />• Town pl -cg Sa n { 5r2 r 1 ✓t �5 Section(s) % i '/4 (s) <br />• Lot/Block/Subdivision Name or Lot/CSM No., if any . Zg 7L% c- Nlo �to� s J�2r) <br />• Zoning District(s) / P -3 CIRCLE ALL THAT APPLY=Wbuilding, <br />/Floodplain /Wetland <br />ve which variance e.addition/alteration <br />❑ Proposed development or �mpro ment loch needs a ( g, <br />to existing building, etc.) <br />V\ -X <br />Zoning or Other Permits Issued, if any >r t Z o r ' 1-1 17 k E -1 fO pl" <br />d Zoning Ordinance Sections which <br />development or improvement (numbers & text) <br />o <br />� . -4 - k. <br />1 (711 Continue on back of sheet if necessary. <br />❑ Legal Hardships: Unusual circumstances�which constitute unnecessary or "legal" hardship. Use <br />Standards 1.- 8. on "Guidelines" sheet. Continue on back of sheet if necessary. <br />-f -�c /© y utas 4A,p- ✓taL<«•r4,,i-e- �- ref <br />-1- air -c(4 <br />la- Township Letter of Pre -Approval or Notification Submitted Date of Correspondence: s�� ��%`iOA <br />DECISION OF THE BOARD OF ADJUSTMENT ON REVERSE I =/-f-« I <br />►n; ; I s r C IT' <br />l tf fr/ a*&— <br />Mal B zoo z- <br />