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Variance Request
Variance Request
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* Indicates required question
Date:
*
MM
/
DD
/
YYYY
Business Name:
*
Your answer
Business Address (City, State, Zip):
*
Your answer
Business Phone Number:
*
Your answer
Property Owner:
*
Your answer
Property Owner Address:
*
Your answer
Property Owner Phone Number:
*
Your answer
Person Requesting Variance:
*
Your answer
Type of Variance Requested:
*
Your answer
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