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DEVIATION APPLICATION FORM <br /> (To Be Filled Out By Applicant) <br /> A11lCi�tCi�hi `-�1'tv�fG <br /> Owner: C/0 SRU-'S,CN Applicant: WCNC'- CNc liv [y_l � - IN< <br /> Address :_ P. pC 6 C�G•�f- 0.36 Address:_ <br /> City:- FIzwN�ti QAI IW City: itcKZiJ <br /> State/Zip:_ CR f SZ_-31 state/Zip:_ <br /> Phone: qh-3 - Phone: <br /> Proposed Deviation: 1C `(a F'C D :l il ;'p„ R f I:i Al C< �({i( ,� < r' `(:C { <br /> r <br /> Property Address: <br /> Assessor Parcel Number(s ) :_ <br /> Date: <br /> PROPERTY INFORMATION <br /> DESCRIPTION <br /> Describe the property: <br /> Size: <br /> Shape, terrain, unique features, etc. : <br /> - T�ZI<PEZ 'IpHI IN `kA[k\ C It- ivct'rtll�' <br /> USE <br /> Existing use ( if agriculture, what crop) : <br /> Proposed Use ( if different) :_ c�,C Yc,IcAl 1%��tUkl "( iAl <br /> SV1'iDlvl�IUN <br /> r <br /> II <br /> STRUCTURES <br /> Existing structures (state the size, location, etc. ) : <br /> J\J7 <br /> M <br /> N- <br /> Deviation Application _ 5 _ <br /> ( 4/84 ) <br />