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<br /> <br /> <br />~SBVfbhE <br /> <br />ZqCl <br /> <br />2660 CIVIC CENTER DRIVE <br />ROSEVILLE, MINNESOTA 55113 PHONE: 490-2279 FAX: 490-2931 <br /> <br /> <br />ck item or items for which you are applying: <br /> <br />$50.00 <br />$25.00 <br /> <br />_ Minor Variance; Building or non motorized pathway <br />_ Minor Variance; Driveway <br /> <br />Please complete form by typing or printing in ink. If the spaces provided are <br />insufficient, use additional sheets, keying information to the property item number: <br />1. \ L u . ~ S'lo a-c <br />(First) (Middle) (Last) <br /> <br />2. ~ (rp.\-t\u-S\ ~~\;~"D.; \'i\AJ <br />Address of Owner: (No. And Street) (City) (State) <br /> <br />\\usJ \ L \,\6"'~ '"Iuc.... <br />Name of Applicant: (First) (Middle) (Last) (Phone) <br />~~ \....~W $~ lA~~r-'~~ ~ II <br />Address of Appl.: (No. And Street) (City) (State) (Zip) <br />~ &b\t\~r- ~\ ~o.~~,l\~~,u $11l- <br />Street Address of Property Involved: I <br /> <br /> <br /> <br />3. <br /> <br />(Phone) <br /> <br />S""U3 <br />(Zip) <br />~-/~ <br /> <br />4. <br /> <br />5. <br /> <br />6. <br /> <br /> <br />C~lete Legal Description of Property Involve. . <br />.D ..... \ \~ s \-\P ~ j) Sli-~ j <br /> <br />7. <br /> <br />\ -~-'- <br /> <br /> <br />Present Use of Property: ~,~ -r. 1\ \ \\o~.e...., <br /> <br />8. <br /> <br />Present Zoning of Property: <br /> <br />9. <br /> <br />Varia <br /> <br /> <br />1 <br />