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<br />CI'lY OF IamVII.lE <br />2660 CIVIC aN.l'ER mIVE <br />IamVII.lE, M:DmESCIrA 55113 <br /> <br />Please check item or items for whic::h you are awlyirg: <br /> <br />.(tYYv <br />j3~~ <br />~.q/, <br />('I'{' /, <br />L~I/r"/'J,~,q <br />rlj/ 6 <br /> <br />_ Minor variance; Buildirg or ID1 m:>torized pathway <br />~ Minor variance; Driveway <br /> <br />$50.00 <br />$25.00 <br /> <br />Please complete form by typirg or printirg in ink. If the spaces provided are <br />insufficient, use additional sheets, keyirg info:rmation to the proper item mnnbers: <br /> <br />3. <br /> <br /> -:sA~ ckddle) l..J41.1 i ~ '^ ~JCo~~qfY1 <br />Name of owner: (First) (Last ) (Fhone) <br /> 14J ') flo~ PL i.o~ J. ( (1- plltJ ~S-I{J <br />Address of owner: (No. am street) (City) (state) (Zip) <br /> ~MfL <br />(Name of 19:>licant) : (First) (Middle) (Last ) (Fhone) <br /> !:.A,.,,( <br />(Address of Appl.): (No. am street) (City) (state) (Zip) <br /> <br />1. <br /> <br />2. <br /> <br />4. <br /> <br />5. <br /> <br />5::.ArvL <br /> <br />street Address of Property Involved: <br /> <br />Cg1pplete Legal ~ipt.ion of Property Involved: -r-NL fL..A..5t /10 +1L-iL-i- <br />0+ L-o+ I I /.)[.0(.,,1( ~ I WL'tV ~O[, 'ZifLS. AJ)f):-'hO^,-J <br /> <br />6. <br /> <br />7. Present Use of Property: ~ <br />8. Present zoni.rg of Property: R- \ <br /> <br />9. Variance is requested fran the followllg section(s) of the city code:. <br /> <br />10. InfOJ:1lBticn whid1 DIJSt be subnitted far all awlicaticns: <br /> <br />A. Application am Fee <br /> <br />B. 8-1/2 x 11" site Plan showirg property lines, am location of all existing <br />am proposed inprovements. <br /> <br />C. Written approval fran owners of adjacent or nearby properties affected by <br />the variance request. <br /> <br />D. Written statements fran the awlicant exp1ain.i.n:J why the variance is <br />necessary am what hardships are present. <br />