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Hardship Exemption Application

Hardship Exemption Application

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Published by WLANC

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Published by: WLANC on Oct 04, 2009
Copyright:Attribution Non-commercial

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05/15/2015

H A R D S H IP
E X E M P T IO N
A P P L IC A T IO N
_ ._ ._ ._
. . .
--
IC O ~ r~ a :
I e
C o u n c il
F ile
N o .:
C I!Y M '
e >
c 6 --o n z -5 " 2 /ts -
. ._ -
In te rim
C o n tro l
O rd in a n c e
N o .:
A d d itio n a l
In te rim
C 7 in a n c e
N o .:
/1 1 6 2 :;-
E ffe c tiv e
D a te :
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--_. _-_. _----- _
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A p p lic a n t
M a ilin g
A d d re s s
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Z ip
C ode:
0 /0 0 & '1 -
R e p re s e n ta tiv e 's
M a ilin g
A d d re s s :
1 -2 ' +
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i?
T e e p h o n e :
1 1 /5 )5
2 -0 5 0 3
A p p lic a n t's
R e p re s e n ta tiv e
C ;jC .# /-IIV :\u00a3 :v
1 ..-4 '
~
Z ip
C ode:
P ro p e rty
A d d re s s :
1 !J w v 1 !1 27 -
V ,\u00a3 /(p _ E lv cA
_
L e g a l D e s c r ip tio n :
L o t A re a
(s q .f t.):
S /2 C 3
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c o n s tru c tid n
D a te :
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t-;E ;;:-x c c is c ;r" 'm -c g -; ; ; ; z " 'o -n e :-(" 'Z " 'IM " 'A " S " )-:
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P e rm it ~ \u m l:l~ ~ ):
~
C 2-Jlit-C D o
.
) ~ _ ;,\" " J ~ .> "
E x is tin g
L a n d
U se
D e s ig n a tio n
(F ro m
C ity P la n n in g
I
< i
I D e p a rtm e n t):
/
i5 -fo
b v ;' /d I
5L t7t-.""!e."-L !..,..{W "--
_
D e s c rib
C u rre n t
U se
( In c lu d e s iz e in s q u a r e
fe e t, h e ig h t, e tc ~
f
~
,
(7 q b
J ;:
,? ; { 2 eO ' : ; ~V
Co l ! ec r t ' l e.
.o e a - _c ' A --. J
I
f
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i
i
em f
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-----_. _-_. _--_.
__. ._----_. . . .\u2022
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!
-----. -------. -------. ---. ~
N o te :
A
M a s te r
L a n d
U s e A p p lic a tio n
is n o t re q u ire d .
P a g e 3 o f5
D e s c rib e
P ro p o s e d
P ro je c t
a n d
U se
(In c lu d e
s iz e in s q u a re fe e t, h e ig h t, e tc . ):
iI
.-----.
-
-,_ ._ "--_
.
----
-----
W hy
do you
b e lie v e
a h a rd s h ip
e x is ts
fo r w h ic h
a n e x e m p tio n
s h o u ld
b e g ra n te d ?
(A tta c h
a s ta te m e n t o n
a s e p a ra te
s h e e t if n e c e s s a ry .
A n e c o n o m ic
a n a ly s is
m a y a ls o b e s u b m itte d . )
Do you
h a v e
a n y o w n e rs h ip
in te re s t
in a n y o th e r
p a rc e ls
w ith in
3 0 0 fe e t o f th is
p ro p e rty ?
(
)Y e s
( ~
(I f y e s , s u b m ita m a p s h o w in g
th e lo c a tio n
a n d b o u n d a rie s
o fth e p ro p e rty
fo r w h ic h
a n e x e m p tio n
is b e in g
re q u e s te d ,
a n d th e lo c a tio n
o fth e o th e r o w n e rs h ip s . )
A D D IT I
A L
IN F O R M A T IO N
F IL IN G
R E Q U IR E M E N T S
In a d d itio n
t o
is fo r m , a ll b e lo w
ite m s s h o u ld
b e in c lu d e d
w ith th e a p p lic a tio n ,
u n le s s o th e r w is e
in s tru c te d
by C ity
S ta ff.
a .
A tta c h
a map
o w in g
th e
lo c a tio n
a n d
b o u n d a rie s
o f th e p ro p e
fo r w h ic h
th e e x e m p tio n
is b e in g
re q u e s te d .
(M ay
th e s a m e
m a p a s re q u ire d
in N o . 7 )
b .
A tta c h
a P lo t P la n s h o w i
th e b u ild in g
fo o tp rin t,
p
a n y a m e n itie s , e tc .
.
g , b a lc o n ie s ,
d riv e w a y s ,
c .
A tta c h a n E le v a tio n
P la n , w h ic h
in
d .
A tta c h
B u ild in g
P la n s .
If p la n s h a v e b e
a c c e p te d
b y th e D e p a r tm e n t o f B u ild in g
a n d S a fe ty , lis t P la n
C heck
N o.
a n d S u b m itta
a te
_
e .
S u b m it a P r o je c t
H is to ry
s u m m a ry
th a t in c lu d e s
te s a n d d e s c rip tio n s
o f m e e tin g s ,
n e g o tia tio n s ,
e x p e n d itu re s ,
c o m m itm e n ts ,
e tc .
f .
S u b m it P h o to g ra p h s
o f th e s u b je c t p ro p e rty
a n d a ll s u rro u
in g p ro p e rty -
n o t o v e r 8Y o x 1 1 in c h e s , b u t o f
a d e q u a te
s iz e to illu s tr a te th e c o n d itio n
a n d p h y s ic a l c o n te x t0
h e p ro p e rty
u n d e r d is c u s s io n .
g .
A tta c h a n y a d d itio n a l
in fo rm a tio n
as needed.
N o te :A
M a s te r
L a n d
U se
A p p lic a tio n
is n o t re q
.e d.
P a g e 4 o f5
TH E
F O R E G O IN G
IN F O R M A T IO N
IS T R U E
A N D
C O R R E C T
T O
TH E
BEST OF MY KNOW LEDGE.
5 ~ e: l f ; r i U ( ' - < Z -
(,4 7::J :-\u00a3 ?
A p p lic a n
R e c o rd
O w n e r) *
D a te
*
P ro o fo f o w n e rs h ip
w ill b e
re q u ire d
a t th e tim e
o f a p p lic a tio n
s u b m itta l.
A
re c o rd e d
g ra n t d e e d
a n d /o r
C ity C le rk 's
o w n e rs h ip
re c o rd s
p rin to u t a re
a c c e p ta b le .
N o te :A
M a s te r
L a n d
U s e A p p lic a tio n
is n o t r e q u ir e d .
P a g e
5 of5

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