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l�� <br />� <br />COMMUNITY DEVELOPMENT <br />2660 Civic Center Drive :• Roseville, MN 55113 <br />Phone: (651) 792-7005 •:• Fax: (651) 792-7070 <br />ADMINISTRATIVE DEVIATION APPLICATION <br />CITY CODE SECTION 1014.05 <br />www.ci.roseville.mn.us <br />❑ APPLICATION FEE: $100 C.�.it �t83 <br />Fce should be rriacle payable to Crtv of Roseville ���pon stebmittal oFcompleted applicatiora. <br />Please complete the application by typing or printing in ink. Use additional paper if necessary. <br />1. Property Owner Information: <br />Last name: La Fave <br />First nczrrte: Ruth Ann <br />Address: 2680 Victoria St N Cr'ry/Scate/Zip: Roseville, MN 55113 <br />Phone number: 651-765-0570h 651-528-5245w Email c�ddress: alafave@par.com <br />2. Applicant Information: (if differerat from above) <br />Company name: <br />Last name: <br />Address: <br />Phone narmber: <br />First name: <br />Ciry/State/Zip: <br />Emuil address: <br />3. Statement of Intent: Briefly describe the project: why is an Administrative Deviation needed? <br />Having discovered encroachment issue, I need to remove part of my asphalt driveway that I installed [over <br />e pre-exis ing asp a grave oo pnn o years ago. wi e removing e nangu ar po ion o e <br />as halt drivewa that is encroachin + the re uired set back. The standard 5' setback re uirement will make <br />the�l smaller than it was when I purchased this house, and will make access from the street too <br />narrow Am rPniiPSting riPViatinn to rPniiirP nnl� ?' sPt hack tn minimi�a this pr�hiPm <br />4. Additional Required Information: <br />a. Proposed Plans: A scaled site plan is required showing the existing and proposed building <br />footprints as well as driveways, sidewalks, and patios. <br />1) Include elevation drawings showing the proposed addition or new building with structure <br />setback deviation applications. <br />2) Include preliminarv storm water mitigation plans with impervious coverage deviations. <br />b. Written Narrative: Address the factors that must be considered during review of Administrative <br />Deviation applications; these factors are listed in the document attached to this application and in <br />� 1014.05 of the City Code. <br />5. Signature(s): By signing below, you attest that the information above and attached is true and <br />co�7•ect to the best of your knowledge. <br />Proper�ty On�ner: ��� Date: Gl o% �ZO/o <br />Applicant: Date: <br />