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<br />Cl'lY OF Km.VII.lE <br />2660 CIVIC aNIm IElVE <br />Km.VII.lE, ~ 55113 <br /> <br />Please check item or items for which ya1 are 8(:plyirg: <br /> <br />~ Minor Variaooe: ali.1di.n) or I'd'1 JIDtorized pathway <br />_ Minor variaooe: Driveway <br /> <br />/~~ 2> <br />/)7 tfJDlq ? <br />t4V/ D'1I~ q <br />~t' <br /> <br />" <br /> <br />$50.00 <br />$25.00 <br /> <br />Please catplete fom by typirg or printin;J ;in ink. If the spaces provided are <br />insufficient, use actiitia1al sheets, keyirg infa:matim to the prcper item numbers: <br />D fffo"'t-li; <br />1. G 0((0 1JAJ t. tj A) .'f HoLE "If3- 2291 <br />Name of owner: (First) (M.icme) (Last) (:R'lone) <br />2. q II i/?PrNS:r rf?DSE/JJ~{f 111;/ViJ 5{i 1.1 <br />Address of owner: (No. aJXl street) (City) (state) (Zip) <br />3. G(,,(tJ aN t)f3;AJV J H()LE W~~J g'7'D <br />(Name of Awlicant): (First) (Middle) (Last) (R1one) <br />4. CJ II rl{~lV7rr O<o!GVldb lJ1'tJhJ ~~1/3 <br />(Address of Awl.) : (No. aJXl street) (City) (state) (Zip) <br />5. 911 1't/t,IlN?!r <br />street Address of Prq)erty Involved: <br />6. Ccmplete Legal DesCription of Prq)erty Involved: <br /> <br />7. Pmsent use of Prq)erty~~ ~ <br />8. Present Zoninj of Prq)erty: << I <br />9. Variance is requested fran the follCJIii.rxJ sectioo(s) of the city code: <br /> <br />10. Infm:matiat U1ic:b DUSt be subDitted far all cg>licatims: <br /> <br />A. Application am Fee <br /> <br />B. 8-1/2 x 11" site Plan shawi.rg property lines, ani location of all existi.n;J <br />am pLc.yJSed iDprovement.s. <br /> <br />C. Written aw:roval frail owners of adjacent or neamy ~es affected by <br />the variance request. <br /> <br />D. Written statements frail the aw1icant explainiJ'g my' the variance is <br />necessary aJXl what hardships ate present. <br />