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CITY OF ao'BVILLB 2660 CIVIC CBRTBR DRrVB ao8BVILLB ,.IID1J:80~A 15113 __X_ Minor Variancel Driveway j~33 p- 't3 -07- project 110. NO FEE Please complete form by typing or printing in ink. .If the provided are insufficient, use additional sheets, keying information to the proper item numbers: 1. BI1N (b ~ Rr LI N DA Ly N GTT E . Name of owner: (First) (Middle) 2. 15?9D I-J URDN !<.056N 1 L LE Address of owner: (No. and street) (City) LINDIt L\/J;l bTTE Name of Applicant: (first) (M1ddle) i 'IN D .j.Ju r<-DN P" 0 S E v' U-e Address of Appl.) (No. and street) (City) /2 q D I-ku<DN J2. DS 6 VI L-L-E: Address of Property: (NO. and street) (City) 3. 4. 5. spaces BA-tJbERT fp4-?rDIc4~ (Last) (Phone) MrJ 55113 (state) (Zip) fMN G-&K, ft:,43 -Ob</-;:;;' (Last) (Phone) A1N 55U3 (state) (Z~p) N f\I 55113 (state) (Zip) 6. Complete legal description of property involved: ~, 15-29-2'3-42--0057 7. Present Use of Property: Re.i4ent:ial 8. Present Zoning of Property: &::l 9. Variance is requested from the following city code 13.050 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 correct to the best of my knowledge. ~~!f~ IP~ Siqnature I 4- )),3 JC,:3 Date