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HomeMy WebLinkAboutCHARLESTON AVE. S., 416 ." . ~..~ H Li I I... D :r ~~ G H R F MER TON PF:H:~'lTT DE PAR T MEN T .. , ._", ...., ..... .... .... ..... ..... ..... ....." .,.~ ..... ..... ..... ..... ..... ..... ~....' _, ..... ..... ..... ..... ..... .._. ._.. ..... ..... ,.",. ..... ..... ...., ..... _... ..... ..... ..~. ...__ ..... ."., ..... .... . ". ..... ..... ..". ... ..... '.... ... ..... ,_ . ..... ... ..... ._... ...., ,_..... .. ..... ".n ..... '"' . ._.. ..... ..... ..... ..... ..... ..... ..... ..... "... ..... .. " ..._'..... .... .......... .......'" ..... ,'''' ...,. ..~...... ..... ,'.n ..... ..... ._.. ..... ..... "... ...~ . _,. ..... ..... ..... ..... ..... ..... ..... ..... ..... '_n' .".. .._...... .... ..... .n.. "'" ..... "h ,. .. .".. .... ..... .... .... ..... ..... ....' .-_. ..... ..... ..... "._ ,,~..... ..... ..... _... ..... (~pp:l. 'i. ca tl. on Da.t c.;) I i3~.::>ue r)a t: e (1 i3 i3 C:.; f,: i3 ()Y. (1 C C t; :~j: ~:;;:I t: f.) I.. oeat :i on (JIAJnecr ..... I...a.st.: Hamf'~ .....;::;t '( (':~t::d; ,.... C:i.ty ..... Phune 'f(:.'~na.nt ' e ~~amfc (iu(")nl': ' s Namec (',re h :i. t; F;ct ' s I"lnml'.:~ [] Huild:inu I'Y'l Iv11:':\ (..: ~'l ':. f') .,' (': ':. '1 ..' \.. t .,.'... 1 C'. ...n f.', . ~ [X] Plumh:ing Hu:i. Jeli ng Cont'ri'lctn'(:' 11/14/1989 11/14/1989 4]6 S. CHARL.FSTON KNUTZEN 416 S. CHARLESTON BREMERTON (206) 479-9710 [ ::1 (;j'ca.diriU . j" '" Ivl ", I i (::., I::) 11 '1' ., ("I .,' y" c "'" 1,..,'''..''')'' " .. .. I..} I:: ] ["lob:i:l. ('.) 1..lome work w:i.:l.l be comp:l.eted by owner, Application Number 89AP01?53 Per~:it Number 10494 Project Group FIrst KARLYNN MI State WA Zip 98310 Phone(206) Phone(206) [: ] r 'J r "I I:: .J f' "f L J [ ] Pa~/inq lJnck:.)'(' qr. ou nd [)f~mo 1 :i t: :i. on ;::;:1 un Burc,:lnq I. and C:l. ('.cay Nature of Work: Mechanical permit for gas piping, gas range. hot water heater, COI.l nc :i. 1 D i ~:>t 'J"i. ct Corlst; '(llct.: :1. on "I'YPf") Residence 8usiness Other New Repair Remodel Addition CenSUf:,: .fy'act; !::;q F'eet [X::l I.. , .. J L J r 1 r 1 [ ] l J 70n :i. nq T'ype ~::;t at us Codf':) J n~'~Pf"ct :i on::::~ F~f:,)qu.l. '( ('.~d Foundation Framing Insulation Plumbing Mechanical Wallboard Final ,.. 1 ., .J I.. , .. J r 1 [x] [x] r 1 [x] ApPY' 0\,) (',)d ny:: ~'t1d+. 1.< \"~~~'~~..'~.. . . . . .... .-- ....,:................. ...../f..~.. ...'!..: -!...:L~..~'..m..' ................ .....::::::::::::::::::::::;::::::.::.:;:::::::::: :''''"'' ""'" '''''''' ",' .,' , .. ;.. .. "" <: ?t.. ..L.l-2....... ... ... ....-.. ...;../,,7;/X; ... _... ...... 13 r~ j'"' M 1"" F< 'f CJ N 13 U T I.. D T N G D r'" P ,~ r;: ''1' 1"1 1"" f\J "r ... ... I'''' ... 1"1 r' c 1.1 () N I c: A I.... P 1'" r~ 1'1 I ''1' A P F' I.. J C' ,'-. ''1'' J U 1'1 ... ... ..., ,"'1 ..... ..... "." h. .... "._...., ,.... .... .... ..... .... ..... ...... ...... n' ...... ..~. ..... ..... ...~ ..... .... ..... ..... .......".... ..... ..... ,.". ..... ..... ..... ..... "." ..... ,.... ..... .".. ..... ..... .......... ..... ..... .....~.. ..... .'....... ....".. ..... ..... ..... ..... ...,. ..... ..... ..... ..... ,.". .......... ,'n. nO_ .......,...........-...................................,..........-............".....,_..._....__........_~..........._.....,.........._........_....~........._.....__...........-.._,..,.................----.............-........-...................................-......... ('IPP:I i cat; :i on l\lumbey' H9(.'IP0:1 25:] [,.I()'( k 1/\) :i. 11 bE') cump 1 E,) I'; (o)d IJ/ ow m.:.)Y' .. Stoves Fire Place Inserts F u'(nace~; n u. '( n (.) Y' i:':; H(:~atc'(8 Hn i. 1 eY'~'.j " Gas Out:l et f; Coole)"~:; . Air Conditioning Units !...If-:.)at Pumps F<c....I...!eat Doxes Air Handling Units F'an~,.j Panq(.:.:.) Ho()dr:: 1)'( /E.)r s J nc:i. 'ney' at: 0'( 8 (.):1. t f')'( at i OfIE; I a.nkG Refrigeration Units ot h(.;y T t f:':Hn~3 h~' ..... ,,_'.m ..... ..... .......... .........,. ,...... .......... '" ............... ...... ........ ..... ..... ,.,., ..... ...,. ...., ...........,.... ,.._...........,._.........".. ...~....., ............,......,...... ..... ...,,, .......... ..... ........" ......... .._...... W', ..... ............... ...., ..... MO. ,.........."....... ..... ..... ..... .."..........."...........".................._.T.....'........_..............,...._........."............. .......~....................h" ..._......".................................................................._................................._.................................................................. ............... { ".; .' .". p r r 1"1 r- r' 'f D 1-.1 F5 U J 1.., D J N G D I.... P A r' f ['1 r' t"j T' -, .., ..' .., " '. , [" " r' 1... U f"1 P 1 N G P E. F< ~1 I f It.) p P 1.... T C It.) f J U t\J ... .J .... ......................... ....."...."............. .............................................. ..................-................................."........-................................... ............'.........., ................................................................- ................ ...........-................ ......... ...._ .uw ..... ..."..... ....."......,...... .......... ,,,n ..... ..... ..... ..... ..... ..... ..... ........,...... ..,.. ..... ..... ............... ,.... ..... ..... ".n ............... _............. ........ .... ..... ......."...... .._. ..... ............... .......... .......... ,.... ,_........ ..... ..... ..... ..... ............... ..... ..... ..... ..... 'w" Application Number 89AP01253 Work will he completed by owner. 'r n :i..l f:~t; E, Bathtubs l3an :i. nf; ShUWF~YS l'';:l.tchen ~::;inks n:i :;,:,hilJanhers L.i:iu.n dy' yT' Y' a. y e Clothes WaE,hc'(s 1. lrJatcy' 1"leal.; (::;{s UY' :i. na 1. r:, Drinking Fountains Il( i:1 :i rs i3 Slop ~:;J.nkF': ~,Ji:'J.t; f;Y' F'i p:l nq I nt (:'~Y'C(';pt or' s l)a.cUI.lffi H,(f'~a kf')'( LalJ.m ~:;P'( in k 1 (:.;'( F:i'(c~ Sp-rinkJu'l" p'l" i \)iJt e POo:l. s Semi-Pr:ivate Pools Pub Ii. C Poo 1 l:3 CyoundtJ.Ju'( k ~::;u.mpf> (~l t enJt :i oris 1< J. dnf:~Y i"la.chi. n(~i" p'l" i '.Ja t.: (::~ t.lot:"! I.Jhs Semi-Private Hot Tubs Pub 1 :1 c I"lut: 'TubH U!:.: hey' Upt '1. Dn~:, ..... ..... ..... ..... ..... ..... ..... ...., ..... ..... h'" ..... ..... ..... ..... ..... "'" ..... ..... ...., ..... ..... ..... ."., ..... ..... ".... ..." ..... "", ..... ....; ..... ~... ..... ".,' ...,. ..... ..... ..... ......~. ...,. .,... ..... ..... ..... ".,. .......... ..... "00. ..... ..... ..... ..... ..... ..... 'n" ..... ..... ,,,.. h'" ..... ..... "m 'n,_ ..... ..... ..... ..... .,........ ............... ..... ..... ..... .......... ..... .......... ..... ..... ..... _... ................ ..... .M....... .......... "'M .......".......,......_. ......... ............ .."... ,.... .._,..... .....".....,..... ..... ..... ........_........................................ ..... ..... ..... ..... ..... ..... .... ..... ..... .,........ , ,. . " ~ , ,........-. . l . r'.,;. ~'-:. . 'r~ /. " \,..,.. ,.\" '. " INSPECTION RECORD CARD CITY OF BREMERTON BUILDING DEPARTMENT 10494 PERMIT NUMBER ADDRESS OWNER CONTRACTOR 416 SO. CHARLESTON KARLYNN KNUTZEN SELF PHONE PHONE 479-9710 1 FOUNDATION 1. PERMIT ON SITE 2. CHECK PLANS TO PERMIT 3. CHECK SETBACKS 4. PROPERTY STAKES 5. FOOTING WIDTH ~. DEPTH 6. SOIL BEARING O.K. 7. CHECK FOR FILL 8. REQUIRED STEEL IN PLACE 9. CHECK FIREPLACE FOOTING 10. ANCOR BOLTS 11. FOUNDATION VENTS 12. CRAWL ACCESS . COMMENTS: FOUNDATION INSPECTION APPROVED BY: 2A FRAMING 20. FIREBLOCKING STAIRS DROP CEILINGS TUBS OR SHOWERS ROOF & CEILING LINES FURRED OUT AREAS FIREPLACE AT CEILINGS HOLES PLUGGED TOP & BOTTOM LID IN VOIDS 21. WINDOWS MEETS ENERGY CODE CLASS SAFETY GLAZING REQUIRED FIRE EXITS WINDOW SILL HEIGHT 22. CEILING HEIGHTS 23. SWAY BRACING 24. TRUSSES PROPERLY INSTALLED STAMPED PROPERLY BRACED 25. ATTIC ACCESS 26. RAFTER &. JOIST SPAN 27. ROOFING, FLASHING, SHEATHING 28. SIDING 1.WIRING APPROVED 2. FOUNDATION VENTS 3. SHIELD UNDER POSTS 4. POSITIVE CONNECTIONS 5. SOIL TO WOOD CLEARANCE 6. BEAM SUPPORT 7. TA. MAT. NEXT TO CONC. 8. WASHERS ON ANCHOR BOLTS 9. BEAMS PROPER SIZE 10. FLOOR JOIST SPAN 11. NOTCHING & DRILLING 12. STAIRS WIDTH RISE & RUN WINDERS LANDINGS HEADROOM 13. ATTIC VENTILATION (upper & lower) 14. CHIMNEY STRAPS SECURED 15. FIREPLACE COMBUSTION AIR 16. FANS VENTED TO OUTSIDE 17. WATER CLOSET CLEARANCE 18. SMOKE DETECTOR 19. SHEETROCK BACKING UNDER STAIRS ABOVE GARAGE DOOR HANGERS COMMENTS: FRAMING INSPECTION APPROVED BY: 2B INSULATION COMMENTS: 1. PROPER R- VALUE 2. VAPOR BARRIER 3. PROPER FASTENING INSULATION INSPECTION APPROVED BY: MECHANICAL 1. PERMIT ISSUED 2. FURNACE LOCATION 3. FURNACE CLEARANCE 4.181 VENT SIZING 5. '81 VENT CLEARANCE 6. '81 VENT SUPPORT 7. COM8USTION AIR 8. DUCT SIZING 9. DUCT SUPPORT & JOINTS 10.GAS PIPING TEST 11. GAS PIPE SIZING . 12. 'GAS PIPE SUPPORT f1W7 COMMENTS: M ., -. WDST APPROVED BY: ,46r (J~I / {l /-f ~/- ,.""0 PLUMBING 1. PERMIT ISSUED 2. UNDER TEST 3. WATER PIPE SIZING 4. DWV SIZING 5. PROPER SUPPORT COMMENTS: p UNDERGROUND APPROVED BY: 6. PROPER FITTINGS 7. REQUIRED CLEANOUTS 8. PROPER GRADE 9. HWT PRES. RELIEF VALVE & LINE 10. SEISMIC STRAP ROUGH-IN APPROVED BY: 3 WALLBOARD 1. LID OVER SIDES 2. NAILING 3. W/R AT TU8 OR SHOWER 4.518 UNDER STAIRS 5. FURNACE ENCLOSURE COMMENTS: WALLBOARD APPROVED BY: 6. FIRE SEPARATION IN GARAGE 7. ATTIC ACCESS 8. DRAFT STOP IN A TIle 9. PROPER CONST. OF FIRE WALLS 10. DROP CEILING & LIGHTING 4 FINAL 1. HANDRAILS 2. GUARDRAILS HEIGHT INTERMEDIATE 3. EXHAUST FANS 4. WATERPROOFING IN SHOWERS 5. DISHWASHER AIRGAP 6. FIRE DOORS LA8LED AS REQUIRED SELF CLOSING 7. FIRE DAMPERS INSTALLED 8. PENETRATlONS IN FIRE WALLS 9. HOT WATER TANK PRL 10. OUTSIDE GRADE 11. SOIL TO SIDING CLEARANCE 12. SMOKE DETECTORS 13. FIREPLACE HEARTH 14. SAFETY GLAZING 15. INSULATION WINDOWS MEET ENERGY CODE UNDERFLOOR & ATIICE INSUL. WATER PIPE & HEAT DUCTS 16. WOODSTOVE APPROVED 17. WINDOWS & DOORS CAULKED FINAL PLMB. APPR. (comm.) COMMENTS: FINAL MECH. APPR. (COll1nl.) ~Yt- t"- 5.1f~ FINAL BUILDING APPR. BUIl.DING 'ERM'IT' ~~ 2981 City of Bremerton, Washington Phone: (206) 478-5281 OWNER'S VALUE BLDG. DEPT. VALUE PLAN CHECK FEE RECEIPT NO. PERMIT FEE RECEIPT NO. DATE $ ~ 0.) tn7'D ~ PS-:8 63S3b S'-//- 8>0 - $ 531/;>2.- $ /30,50 OWNER'S NAME PHONE 1/ , ~' 'o'vP"rl/ ;?1-/ RESIDENCE BUSINESS REPAIR PHONE REMODEL 0 ADDITION o DEMOLISH PLANNING I ZONING FIRE ZONE ~~ STORIES OCCUPANCY THIS PERMIT ISSUED FOR: ~ .p~ 7 d~ -I- ~~ All provisions of laws and or inances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. INSPECTIONS REQUIRED: Foundation 0 Framing,J4 Plumbing Wallboard FINA~ FOR INSPECTORS USE ONLY: . REINSPECTION: ~PPROVED' NOT TYPE OF INSPECTION DATE TIME APPROVED COMMENT DATE TIME APPROVED FINAL INSPECTION APPROVED BY Building Inspector OWNER'S SIGNATURE BY ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE 0 BUILDING DEPT. ~ITY OF BREM~~~UC1lM~~IfpARTMENT ~;s.},.<?J~.. ~~...) ,PERMIT F(E s/Jc?~~C:... CPLAr~ Ct1[(K S~~.i.!J.....) C..~~Y?4-) AD::lRE,~SJLDCAT J OIl .oF .JCB.... '7 -/;J~' . . . ::;5,. .. . .... . .. ............. '.' . . . . . . . :.. . . ... . . . . . . '. . . . . . . . . . . . . . . . . . . . . . .. . . . . APPLICATI.ON ISSUED fOR: ...../.l~..~...kJ~.....,..... ................................ .... PTIOPEnTY TAX ACCT. NO. d . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . PLANNI NG ZCIH NG. . . . . . . . . . . . CWI~ER.. L,v~... . ....... ADDRESS.. !f./. k.. .$... .' . - fiR E ZCNE............ '.' r .oCCUPANCy............ .: TYP'E .oF CCNSTRUCTION...... ........... CCNTRACTCR. ... .. ............ . . ... ....~. ADDRESS.. 99. ~.""?:. .?~.. .~~ ./6.<;:1... .pq. PHOtJE: . . . . . . . . . . . . . . . . . . . . . . . '." . . . . . . . ... . .. . . . . . . .. . . .. . . . . . PHOfIE. ?.71:-: 19. 7Y STATE LI C. I......................... SIGNATURE A~PLlCANT.......................... ............ DATE.~~/.-._fL;..... RECEIVED BY~"'" PLANNING COMMENTS/REVIEWED BY.. ISSUANCE OF BLDG. PERMIT. ACCEPTANCE OF APPLICAT APP'[) UY ~~~r SEPARATE PERMIT REQUIRED IN RIGHT-Of-WAY, EXCAVATION, PAVING, SIDEWAlKS,SANITARY & STORM SEWER. -y APP'lJ : J\Y I~ : U'd'f I ENGINEERING ~ --;:1< . _ ": // / ,~d' ~~. ~ (/~ci:J..- FIRE DEPT. CO~~ENTS/REVIEWED BY. ; TRAffiC DEPT. CO~~ENTS/REVIEWED BY. ......... PLUMBING REVIEWED By.......... WATER UEPT. SEPARATE PERMITS REQUIRED fOR PLUMBING AND MECHANICAL WORK. 0' ELECTRICAL REVIEWED By........... APP'D BY SEPARATE PERMIT REQUIRED fOR ELECTRICAL WORK. BUILDIN~ REVIEWED ~Uq,~ ^Pf"J) ;~y \... [ ,~,".m O. U<<. J( DA T ~. . . . . . . . . . . . . . . . J '" . - PER M ITS Indicate below what requirements, permits are required for this project. PLANNING DEPARTMENT J.A o SHORELINE 0 REZONE o VARIANCE 0 SHORT PLAT [JENVIRONMENTAL IMPACT ASSESSMENT [JENVIRONMENTAL IMPACT STATEMENT o o SPECIAL USE PERMIT CHANGE OF SITE PLAN BUILDING DEPARTMENT o BUILDING DMECHANICAL o HOUSE MOVING o ELECTRICAL o GRADING o PLUMBING o DEMOLITION o SIGN ENGI~EERING DEPARTMENT DSIDEWALK CONSTRUCTION 0 STORM SEWERS 0 DRIVEWAY o CURB & GUTTER CONST. 0 SANITARY SEWER CONSTRUCTION o STORM DETENTION REQUIRED [JINSURANCE AGREEMENT FOR RIGHT-OF-WAY WORK HEALTH DEPARTMENT o SEPTIC TANK o FOOD SERVICE r / , ~ . e CITY OF BREMERTON APPLICATION FOR ADMINISTRATIVE VARIANCE The Administrative Variance process allows the Planning Director to consider applications of. variances to the yard setbacks, lot coverage, fence height and parking requirements of the Residential District portions of the Bremerton Zoning Code (see Sec. 1308.1, .12 and .3 of Ord i nance 1792, as amended). A fee of $10.00 must accompany this application and in the event that a hearing IS required, an additional fee of $25.00 must be submitted prior to the schedul ing of a Planning Commission hearing, if necessary. 1. Name of App I i cant: 12J::>tt'::- W\T'<;~ y~-Jb~ Q Y ::.p.... 2. Street Address of Appl icant: t..\ \ \., ~""'-'~ C,^I6.\'t\...cc." T~~ 3. Telephone: Home 373~"; 81 Work ~/A , 4. Location of the property on which the variance is requested. Street address or distance and direction from street intersection: y Il.? SO """ k c.J.I\~1\.\.i:~,otJ 5. Who holds legal title to this property (Name & Address): ? Iu\ 'I Q..\ So", t.J <i 1'c'\ ~ -\ '" ~ \ 6. Zoning classification of the property: '(2.~s.;1>e~J 1jC)\ 7. Variance is requested to Section(s) of the Bremerton Zoning Ordinance: ~~,. J / rj. ; de.t,<</2C~' completed by P1anninr'Dept. Staff 8. A short statement setting forth the type of variance you want and your reasons for applying for a variance: 1 Cl.\ ~Vi.'...'\\.~ 4L-\b ( 3 is-) t' ~v~ f\ S t.~ &-1~v~W' ~ ~,~'^ .21oJ,o "\'\'\-2 I'JQ~ Bx,&- I4J~I~iCJ~ -to M6 \J ~ ---\~ ... ~ MY ..t<.. i<-i 'i Tl iv' 5 \?>4"t'" \2u~ ~ Required Showings: (Following to be completed by applicant) Please indicate how your request meets these requirements. (a) Explain what special circumstances are applicable to the subject property or intended use such as: shape, topography, location, or surroundings: Jt(\li ~~'Dz-.x~ 81* c:;,.; (,~ S-,\)e D;:" ~ - S' ~ . ~ ~...,,~~"""(", L,~<?.... \ (b) Explain why the variance is necessary for the preservation & enjoyment of a substantial property right'or use which is denied to the property because of special circumstances: '- pv'\P~ ....'1 L,~~ J ~ \.V T b~~ Ii:- I U! (()C.~j fi>~ /$ 5 6- :::L I-) 9 q J ItI uJ4fi"t\\01lI uE N , pJ -10 ~ AJ ( "'-" 1 e "" ., ~ d-1"1..J \W:>VV'. v(~ Ttffi iJo'~ 7f/i- dllli-l /J .... F- ao tv\. T t\€. ~() JUt CI" t .v 1 J 6(cb: Page 1 of 3 r:..;rrn )/ou e Application for Administrative Variance -2- e (c) Explain why variance will not be materially detrimental to the public welfare or injurious to the property or improvements in the vicinity and zone in which the property is located: .. c.. "",p~ led II'J/ ~ 4JJ, Ii.^, ~Il' i~"~ c....J ,,.~ Ml4-kl1I"'r ~~J . pc.,..f\, ) w/( (. ~~I 7r;rlilicr- t=1 vrs~ ail.' V 1<= .....; tu ~ I 'i~bo""" f ~J/U '" r ,~Je My ur ")$IVCI-C:. , C) n~l V{ 0+ (d) Explain why the granting of such variance will not adversely affect the Comprehensive Plan: pot'S 1\.)'1 f2Fr~r J 711(2 (A INtp"~ ~~S'\J..Q.. ~ ~~ 9. A SITE PLAN TO SCALE MUST BE ATTACHED TO THIS APPLICATION (with the following information thereon: 1. The dimensions of your property and the adjoining property. 2. Show existing and proposed structures on your property & adjoining property. 3. Show distances of structures from property boundaries. 4. The area of the variance should be noted on the site plan. 10. Present this completed application. the site plan to scale and the following statement. to all owners of property which adjoin yours and solicit their signed approval of the proposed variance. INSTRUCTIONS TO ADJOINING PROPERTY OWNERS: The applicant (line #1. page I) must obtain the approval of all adjoining property owners in order for the Planning Director to administratively (without public hearing). approve this variance. If all adjoining property owners do not approve the granting of the variance and so indicate by not signing. the variance will not be considered further without a publ ic hearing before the Bremerton Planning Commission. After public hearing the Commission may grant or deny the variance. ADJOINING OWNERS STATEMENT: I hereby certify that I am the owner of property adjoining the property on which this variance is aought and that I have read this application. have reviewed the proposed variance. and approve of its granting. Sign below and print your name and address if you approve of the granting of the vari~e de~cribed her 'n and on the accompanying site plan: 1. !La 2. signature (signature) ~1A4AJIi /fl. 6" F~/AJ1 L~ 6hl~O (print name) ~G (print name) ~J. -r;;~. ~W ~. print address (../J i/O-c) 3 . IJ~: ~~z~~S G, ~'( ~J ~ .' ,'-(~i-(~i:) (date) (print address) (signature) (date) 'M {I ,(\: r /-f-A:- ,/~L IV S Ii' /d\ 77-; print 'name) . . /'l . <..j I () S.::. ( :11:( (r / t S i~/J f{UL;- (print address) ( p r i n t name) (print address) If this application for. variance is approved. you as an adjoining property owner Page 2 of 3 App i i ca. ri on f Ad" e V . or mlnlstratlVe arlance Form 3/80 .. -3- e . . . will be notified at the address given above and wil J be provided with steps necessary to appeal the Planning Director's decision to the Planning Commission. Section 1308.3 Right of a Hearing Before the Planning Commission provides, liThe right of a hearing and appeal to the Planning Commission shall remain to any aggrieved party who wishes to object to the denial or approval of an Administrative Variance in writing to the Secretary of the Planning Commission." APPLICANT'S STATEMENT: I hereby certify that the statements contained herein are correct and agree to abide by this application, site plan and conditions of approval, if it is approved. Further, I have contacted all adjoining property owners, presented this completed application, including the site plan, and sought their approval. If any part of this application is not truthful, or approvals h ve not been sought as required, the City reserves the right to revoke this varian By my signature as appl icant, I agree i~o FOR PLANNING DEPARTMENT USE ONLY: Date of Administrative Action: ~~ 10lv~' ? t \j Sections of Zoning Ordinance varied: k. cJ /7 .Jdv ~a'ic:f~ t/' t;>() App roved ( ) Disapproved Conditions of Approval: v ~ \\ L. \ \j Ar\rfT' 1".\ .... /'~.>-l Ill. ~ \) . etA \.~.I\;~ Planning Directort Page 3 of 3 1900 '- , .. '..J I ,... \ , '- 0'\) ':'... ....,..: f.~ ) 1. ,) ". <r' rr,J. , , '- ... , ",I ~~~~' - J \ '- (' ) . .- (,() " , ... J rl :.e G i:: 2 ~ ~ CJ ~ -.--.---.-.... "-1 r'--'e i i ""~';J j , I _u____. ~ . I ~ "j l.l --..----j " ~Ii . -- -..... 'LiJ ~ '~'l~'"o) -1 r -- _.' 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