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I <br /> I <br /> I <br /> 660 CIVIC CENTER DRIVE <br /> ROSEVILLEs MINNESOTA 56113 PHONE: 490-2279 FAX: 490-2931 <br /> Picas check item or items <br /> for which you are applying <br /> X <br /> $50.00 <br /> Minor e' Building or non Motorized pathway $25-00 <br /> Minor Variance; Driveway <br /> complete form b typing or pri nti n g <br /> rn ink. if the spaces provided are <br /> Please p information to the property item number, <br /> t use additional sheets, keying i n <br /> ins uff�� � , <br /> r �rr <br /> owner (First) (Middle) (Last) (Phone) <br /> 2. r J <br /> f Owner (No. Arid ) PtY) <br /> (State) (zip) <br /> Address � <br /> 3. (Middle) <br /> ..ast) (Phone) <br /> Nam of Applica <br /> I .. ,) & <br /> (No. And <br /> 4. Address of Appl.: Ll e- <br /> 2,Y:::Z�0 7c/& MWEMEW�l <br /> street Address of props 2- -3 <br /> 6. Complete Legal Des Z-on ti orl of P ro p l n������ � �.�_:� <br /> -xdo <br /> -7 L, <br /> 7. Present Use of Property: <br /> Present Zoning of Property: Z4 <br /> �, Pry <br /> 1� . following section(s) of the i <br /> 9. Nested from the f <br /> �r•��n �s r <br /> ii <br />