Pre-Application Form Area Variance IZBA approved: September 21 20161
Pre-Submission Conference Form/Section 179-9-040
1. Applicant Name: James R Stokes
2. Tax Map ID 315.-1-1.2 Location: 45 Allesia Dr
3. Zoning Classification MDR
4. Reason for Review: Setback Variance
5. Zoning Section#: 179-4-010 Residential Design
6. Pre-Submission Meeting Notes: Provi ed Outstanding; Please provide by
Deed
General Information complete
Site Development Data Complete
Setback Requirements Complete
Additional Project Information Complete
FAR addressed
Compliance with Zoning Ordinance
Checklist items addressed V/
Environmental Form completed
Signature Page completed
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Staff Representative: LCWI�-c
Applicant/Agent: Date:
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Area variance[ZSA approved: September 21 2016]
General Information
315.4-1.2
Tax Parcel ID Number:
MDR
Zoning District:
Detailed Description of Project[include current&proposed use]:
Current Use: �'�-C�^'l��t ZCl
Single Family Residence
Proposed Use:
45 Allessia Dr
Location of Project:
AppLcanfName Matlmg Address:
Home Phone , ; City,Mate,Zip
Work Phone Cell Phone
�t
E 1\'Zatl �� xt FAQ No
Agep�';s Name Ma>l�ng Address;
Dome Phone 'City,State,Zip
Work Phone 2 ,Cell.Phon`e2
E-1]la'd FAX CFO
O�rier's Name James R&Donna C Stokes Maittng Address' PO Box 80
Hozrie Phone," Ct Mate Zz
N/A '� Lake Luzeme,NY 12846
3.
Woxk Phone Cell Phone
N/A '- 901-230-3973
E mall` fames stokes@bellsouth.net FAX No ` N/A
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