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<br />Please cœplete fom by typirq or printirq in ink. If the spaces provided are <br />insufficient, use additional sheets, keyirq info:nnation to the proper item numbers: <br />1. JoSe¡j JCi.me 5 L 4/7 Z 190-766+ <br />Name of OWner: (F) (Middle) (last) (Fhone) <br />2'791 J1/ 6rti#"c; Sf )'ø",;;~ mAl <br />Address of owner: (No. and street) (City) (state) <br /> <br />vosffsh t/o.lI1l'S LCtnz <br />(Name of Applicant): (F' t) (Middle) (Last) <br />n sf Á!ð"vtïlf If/ <br />(Address of Appl.) : (No. and street (City) (state) <br />2 '7"1 q ,AJ.. C r ~ ,?I ./!oS(J wi*"" /J1,v <br />street Address of Property" olved: <br /> <br />~. <br /> <br />Cl'lY OF IœE.VIUE <br />2660 CIVIC œmm œIVE <br />IœEVIU.E, M:DæESCJrA 55113 <br /> <br />Please chec:k. item or items for which you are applying: <br /> <br />_ Minor variance; Builclin;r or non IOC>torized pathWay <br />-X. Minor variance; Driveway <br /> <br />$50.00 <br />$25.00 <br /> <br />2. <br /> <br />3. <br /> <br />4. <br /> <br /> <br />5. <br /> <br />6. <br /> <br />COlYplete Legal Descript~on of ~ Invo~ved: <br />L(j1 /5 I ß/uclc 3 Ajf/fth ¡¿idýf> ¡JlfÂ+ 2 <br /> <br />ó?&Sf J <br />/(¡'bCf <br />1/ Ob c¡tf <br />M Gl/t <br />(! f", D <br /> <br />0'51/3 <br />(Zip) <br /> <br />-19v-7CØ <br />(Ihone) <br /> <br />0:511 <br />(Zip) <br /> <br />SS/I~ 'S <br /> <br />7. Present Use of Property: J-hl"1í,) <br />8. Present zoni.rq of Property: H /VIe.. <br /> <br />9. variance is requeste:i from the foll(1,ÿl.rq section(s) of the city code: <br /> <br />10. Informatioo which mst be sutanitted for all applicatia1S: <br /> <br />A. Application and Fee <br /> <br />B. 8-1/2 X 11" site Plan shCMirq property lines, ardlocation of all existing <br />and proposed inprovements. <br /> <br />c. Written approval frcau CMnerS of adjaœnt or nearby properties affected by <br />the variance request. <br /> <br />D. Written statements frcau the applicant explai.nir'g why the variance is <br />necessary and what hardships are present. <br />