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S-1992 Variance Request Form
r1,mrr*as atn9C3 VARIANCEIWAIV£R REQUEST FORM DatcHw af-el 2g 2az5 Plat Name 'foal, file No. owner: �7o A H A-1 - c X% 0Zc G Address e� lei.+ ■- Address: '51, ell G: ff%r oe,/a zife 77Zo f- Phone: 46f- 'gaLo,--- Varimu(s) Requemed: M (3 Justification: Owls Signatm= €}ate PLANNING COMMMION ACTION: BOARD OF DIRECTORS AMON: Approval ( ) Date Approval( ) Date Denial () D D®al ( ) Date Basis for Dcdsion: Basis for Decision: