Laserfiche WebLink
"� ^ <br />1.%���' <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 1013.05 <br />www.ci.roseville.mn.us <br />L7 APPLICATION FEE: $75 <br />(Fee should be made payable to Ciry of Roseville upon submittal of completed application.) <br />Please complete the application by typing or printing in ink. Use additional paper if necessary. <br />1. Property Owner Information: <br />�„ <br />Last name: �; r�;t C First name: <br />Address: I �l4{y �,'� _ ��,�;y =�� City/State/Zip. <br />Phone number: ���`:,1-� -�,"� - ��� ;�,�; Email address <br />2. Applicant Information: (if different from above) <br />Company name: <br />Last name: <br />Address: <br />Phone number: <br />First name: <br />City/State/Zip: <br />�1�L1�i 1�1'�,�t��� <br />Email address: <br />� �;_�(tll� � \�� ����II� <br />��('��� �?�� C' �:� 1��, �� C C��,� <br />3. Statement of Intent: Briefly describe the project: why is an Administrative Deviation needed? <br />,\� �. �k�G '�,�1�(i <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 />§ 1013.05 of the City Code. <br />5. Signature(s): By signing below, you attest that the information above and attached is true and <br />correct to the best of your knowledge. <br />, , � �\,� <br />Property Owner.��, ��' �.���:_f. . �;�. �!;- <br />Applicant: <br />� , <br />Date '� "� � ���,i�� \ <br />Date: <br />