VAR APP 19714
02 9. '7•�p
II .
APPLICATION TO THE BOARD OF APPEALS AND CT1Y COUNCIL
FOR SPECIAL USE PERMIT, VARIANCE TV REQU1R9MhaS OF
CERTAIW ORDINANCES OF THE CITY OF IItIDLE'Y
(Applicant to complete items 1, 2, 3)
1. Name and Address of Applicant /1®&tal7' W—P'INCV—
.2. Legal Description of Property (also general location, such res;"north-
east corner of 64th Avenue and 5th Street" or 6415 Fifth Street")
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9, describe the variance requested. (Attfthi Flet ax Survwy of pro"rty
showing location of proposed building, etc., aloo adjoining prMartiea
and ownership within 200' of said property.)
4. Commenta by administrative official denying original request for bvildins
permit or other permit. (To be completed by admin!strativa officiAl.
/ Appropriate ordinances and section of ordinances to be cited.)'
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4. Commenta by administrative official denying original request for bvildins
permit or other permit. (To be completed by admin!strativa officiAl.
/ Appropriate ordinances and section of ordinances to be cited.)'
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S. Notice of Bearing appears in Official Newspaper an the following
dates: IVDtiJ L
(must be at least once 10 days before meeting copy of notice to be
attached).
i. Board Members notified of meeting by
(List Membere® Date Notified, and "Hes" or Vor pans to attend
hearing). e
Na Date PLSA to attend
see -29 9 -71
7. Person making appeal xW the following property omens having property
within 200' rotifted
By Phow Notified by
flaw Date or N_ i1 _ (Laitial_ )`
a. The following Board Members and interested parties were present at the
Rearingt
BOARD MBlIBBRS
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OTHER PARTIES:
NAME ADDRESS
9. Opinions and recommendations by BOARD OF APPEALS:
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10. For Above Recommendations Against -Recommendations
ll.•kction by City Council and Date:
ia, i99/