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/):;~OCjI ~/(l/ CXTY OF ROSBVXLLB 2660 CXVXC CBNTER DRXVE ROSEVXLLB, KXHNESOTA 55113 project No. x Minor Variance; Driveway -- NO FEE Please complete form by typing or printing in ink. If the spaces provided are insufficient, use additional sheets, keying information to the proper item numb~rs: 1. ~/r1 G-J~.A/N P~/~/j,LJ5 Name of Owner: (Fir';1) (Middle) (Last) 2. ::J-R"6 e &t4tiv R~ is Wes+- /{esev,lI.f! M..AJ S5IL~ A~dress of owri~r: (No. and street) (City) (state) (Zip) DoNee rei G-Ie~.u P h/l/cf¡j S 'I8'9-S'l(JO Name of Applicant: (First) (Middle)' (Last) (Phone) ~83 COLt.~~ ~d IS 'We-sf- RoS!Vr~1e.. MA/ Address of App.) (No. and street) (City) (state) ^t.ftf-59'ðO (Phone) 3. 4. SS/f 3 (Zip) 5. ~ , erty: (No. and street) (City) (state) (Zip) 6. Complete legal description 9f property involved: S ;)00 I ðf' IE ~~:£ Led- 7. ~.'dt~/S. ~ ~ ~ !-II;; ~1 '~ r:~%~~', Þ:t:r :r ~ ~ ~ 7. Present Use of Property: Residential 8. Present Zoning of Property: R-1 9. Variance is requested from the following city code13.0S0 10. Information which must be submitted for all applications: A. 8-1/2" x 11" site plan showing property lines and location of driveway. , B. Written approval from owners of adjacent property affected by the variance request. 11. The Minor variance Application with accompanying documents are set to the City Council for final action under a Blanket Variance format. 12. The above statements are true and cor~~ct knowledge. ~~j)i/Jl~" Signat!~ Vt-r\"o<~ ~: ú2Z¿;¡¿ to the best of my 7b;jt:¡j I D te -- ~ f VÞll-tÞ+.JŒ:.