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�r <br /> 2660 CIVIC CENTER DRIVE <br /> ROSEViLLEs MINNESOTA 65113 PHONE: 4904279 FAX: 490 4931 <br /> Pease check item or items for which you are applying: <br /> Minor Variance; Building or ion motorized pathway $5Q.00 <br /> � Minor Variance; Driveway IFOVA <br /> $25.00 <br /> Please complete form by typing or printing in ink. If the spaces provided are <br /> insufficient, use additional sheets, keying information to the property item number: <br /> A pt & *1 If- <br /> � (Last) (Phone) <br /> Nam f Owner (First) <br /> (Meddle} <br /> 2• (State) (Zrp) <br /> gddr+�ss of Owner.• jNo. And Street) f�1tY) <br /> 3' (Middle) (Lasf) (Phone) <br /> Nam �f Rpoan��t1 le <br /> 4. (State) (Z1p� <br /> Addr+�ss of Apps.: (No. And Str+�et) (Gity� <br /> �r.. � � ' L�G( � � �.LAC /Y JFJ��I <br /> 5, <br /> Street Address of Property Involved: <br /> /l�Q�f Ar5174 V 6"�'ve <br /> escription of Property Involved: <br /> 6. Complete Legal D <br /> 7. present Use of Property: I:K� <br /> 8, Present Zoning of Property. MINOR! <br /> g. Variance is requested from the following section(s) of the City code: 480161,0- <br /> I OEM <br /> 0 <br /> l <br />