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<br />CIn 01' 1t08BVILLB <br />2110 CIVIC CBBTB. DRIVB <br />1t08BVILLB, JII_80~A 55113 <br /> <br />-fo~ct .0. <br /> <br />aIO'." ? <br />tfJ 11"q <br />hkD <br />~t' fJfY <br /> <br />__X__ Minor Variance; Driveway <br /> <br />NO FEE <br /> <br />Please complete form by typing or printing in ink. If the spaces <br />provided are insufficient, use additional sheets, keying <br />information to the proper item numbers: <br /> <br />1. tlID~ OO.~ <br />Hame of owner: (First) (Middle) (Last) <br /> <br />2. ~ .;?~~(HO~nd St~(IM-~) fs!1.te) <br />5~ <br />Name of Applicant: (First) <br /> <br />4. Add~ ~PP1. ) (Ho. and street) (City) (state) <br /> <br />4i~- '~I <br />(Phone) <br /> <br />S611.a <br />(Zip) <br /> <br />3. <br /> <br />(Middle) <br /> <br />(Last) <br /> <br />(Phone) <br /> <br />(Zip) <br /> <br />5. <br /> <br />(Zip) <br /> <br />Address of Property: (Ho. and street) (City) (state) <br />6. description of property involved: <br /> <br /> <br />7. Present Use of Property: .e.i4ent:ia1 <br />8. Present Zoning of Property: B:1 <br />9. variance is requested from the following city code 13.050 <br />10. Information which must be submitted for all applications: <br />A. 8-1/2" x 11" site plan showing property lines and <br />location of driveway. <br /> <br />B. written approval from owners of adjacent property <br />affected by the variance request. <br /> <br />11. The Minor Variance Application with accompanying documents <br />are set to the city Council for final action under a Blanket: <br />Variance format. <br /> <br />12. The above statem nts <br />knowledge. <br /> <br /> <br />to the best of my <br /> <br />6 --as -q~ <br /> <br />Date <br />