Laserfiche WebLink
.r <br />jJ� <br />�.�- <br />COMMUNITY DEVELOPMENT <br />2660 Civic Center Drive : Roseville, MN 551 13 <br />Phone: (651) 792-7005 ❖ Fax: (651) 792-7070 <br />ADMINISTRATIVE DEVIATION APPLICATION <br />C�'►'v CoD� SGC�I�►otv 1014.05 <br />www. c i. rosev i I 1 e. m n. us <br />� APPLICATION FEE: $75 <br />(f�ee shorrld be made payable to C'iry orRosevi/!e upon svhmitta/ of comp/eted app/ication.) <br />Please complete the application by typing or printing in ink. Use additional paper if necessary. <br />1. Property Owne Information: <br />Last �ame: ��'�vSC9+il First name <br />Address: ���O � S�►'� �r9c� �fP�i� v f' City/State% <br />Phone number: � S ��(9 `t�"7 —�`� � � Email addr <br />2. Applicant Information: (if differerrt, from above) <br />Company nume: <br />Last name: <br />Address: <br />Phone numher�: <br />First name: <br />��(��� �1 l�i!`G�l�c%t�L`-' <br />'l�: �s�; II� . �� s � ll 3 <br />�ss: �r�'�c� � j � � � � � c� � <br />s��so� �ceCD✓'✓1C_'V • Co�-v� <br />Ciry/State/Zip: <br />Email address: <br />3. Statement of Intent: Briefly describe the project: why is an Administrative Deviation needed? <br />�9����� <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 />§ 1 O l 4.05 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 yo�r knowledge. d <br />�i� ��— C� l/D / % <br />Property (hvner: / Date: � ���D <br />i �� . .,, � � 1 � �d U � <br />A��plicant: �� C�GucJ �,{�l�Jd�� Date: <br />