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<br />CI'lY OF R:m.VIIlE <br />2660 c:rv.rC Cftm!R mIVE <br />KEE.VIIl.E, MINNESCJrA 55113 <br /> <br />Please check item or items for which you are a{.'Plyin;J: <br /> <br />~r Variance: Buildin;J or rD'l motorized pathway <br />::z Minor variance: Driveway <br /> <br />~.~ ltfl Q.\/ <br />IJ ~~r;. 3 <br />t? '? 1t} <br />()0:1 '2 <br />~.; . (,1.Jq-:; <br />(! { 0 <br /> <br />$50.00 <br />$25.00 <br /> <br />Please OCI1plete fcmn by typ:iJg or pri.ntir1gin ink. If the spaces provided are <br />insufficient, use aCkiitional sheets, ke.Yin] infcmuatim to the proper item numbers: <br />~ff~</L L ~ !Juvw(fc-tJ 1fff-7&'f3 <br />Name of owner: (First) (Middle) (last) (Blane) <br />;?05$ LT=-~ "'-L Itvc Fj'oSEVllf-€ /hAJ 5:5>/13 <br />Address of owner: (No. am . ) (City) (state) (Zip) <br />~e ~ ~~ <br />(Name of AR>licant): (First) (Middle) <br /> <br />1. <br /> <br />2. <br /> <br />3. <br /> <br />(last) <br /> <br />(Blane) <br /> <br />4. <br /> <br />(Zip) <br /> <br />5. <br /> <br />(Address of AR>1.) : (No. am street) (City) (state) <br /> <br />.:? tJ 5'S' LI AI ~ /fv€ 75 D '!, ~yi / / c <br />street Address of Property lved: <br /> <br />6. Carp1ete Iegal Description of Property Involved: <br /> <br />7. Present Use of Property: <br />8. Present Zo11i.n3 of Property: <br />9. variance is requested !ran the follovrl.n3 section(s) of the city cxx:le: <br /> <br />10. Informatia:1 mich JIIJSt be subDitted for all ~: <br /> <br />A. Awlicatioo am Fee <br /> <br />B. 8-1/2 x 11" Site Plan ~ prq:Ierty lines, am location of all existing <br />am proposed iJIprovements. <br /> <br />C'./ ~itten approval fran a.rmers of adjacent or nearby prqIerties affected by <br />- the variaJ'Da request. <br /> <br />D. Written statements fran the applicant exp1ai.ni.rq my the variance is <br />necessary ani what hardships are p1:esent. <br />