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<br />CI'lY OF K6EVIUE <br />2660 CIVIC c:mnm IJnVE <br />K6EVIUE, M:I:NNESOm 55113 <br /> <br />Please check item or items for which you are awlyirg: <br /> <br />. W'v <br />J~~~ <br />~.qL, <br />('1'1" (, <br />~1V r ~,/~~,q <br />ef/6 <br /> <br />_ Minor variance; Buildirg or non DDtorized pathway <br />~ Minor variance; Driveway <br /> <br />$50.00 <br />$25.00 <br /> <br />Please complete fonn by typirg or printin:J in ink. If the spaces provided are <br />insufficient, use additional sheets, keyirg info:nnation to the proper item numbers: <br /> <br />3. <br /> <br />'3A'-l ckddle) tJ4~~ {pJf.o~ ~~qff1 <br />Name of owner: (First) (Last ) (Rlone) <br /> 143) fLo~ PL ~!:1J.,~ JI!I1J S-SlIJ <br />Address of owner: (No. am street) (City) (state) (Zip) <br /> ~M fi.. <br />(Name of 1q:plicant) : (First) (Middle) (Last ) (Rlone) <br /> !:A~ <br />(Address of Appl.) : (No. am street) (City) (state) (Zip) <br /> <br />1. <br /> <br />2. <br /> <br />4. <br /> <br />5. 5::J+rvL. <br />street Address of Property Involved: <br /> <br />6. Cc:Jn>lete Legal ~ipt;:ion of Property Involved: -t'+~_ fL.A. 5t /1 0 4=' fL.fL-.1- <br />o+- [.,0+ I, PLoc..'" ~, W'-t'~ ~OL. 'ZiJLS!. A{:Jf)>-I-:Of\.) <br />. ' <br /> <br />7. Present Use of Property: ~ <br />8. Present Zonin;J of Property: R- \ <br /> <br />9. Variance is requested fran the followirg section (s) of the city code: . <br /> <br />10. Infm:naticn which JDJSt be sutmitted for all awlicaticns: <br /> <br />A. Application am Fee <br /> <br />B. 8-1/2 x 11" site Plan showing property lines, am location of all existing <br />am proposed iIrprovements. <br /> <br />C. Written approval fran owners of adjacent or nem:by properties affected by <br />the variance request. <br /> <br />D. Written statements fran the applicant explai.nin;J why the variance is <br />necessary am what hardships are present. <br />