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<br />\ 5:t I <br />~ 'A LlJ In <br />l' 1\'11 <br /> <br />. <br /> <br />lq 42- <br /> <br />2660 CIVIC CENTER DRIVE <br />ROSEVILLE, MINNESOTA 55113 PHONE: 490-2279 FAX: 490-2931 <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 />eifEl, PAl ~rjc// <br />Name of Owner: (First) (Middle) (Last) <br /> <br />2- 7()b/YJ~h'/O~ 5!,ee.1 KV.Jev'/k /11/1/ <br />Address of Owner: (No. And Street) (City) (State) <br />E;e[K 1,4/ O~ff <br />Name of Applicant: (First) (Middle) (Last) <br />WJ g f/J1/trt(/~ 51- iJJI(' (iJ;./ <br />Address of Appl.: (No. And Street) (City) (State) <br /> <br />Please check item or items for which you are applying: <br /> <br />Minor Variance; Building or non motorized pathway <br />V . Minor Variance; Driveway <br /> <br />1. <br /> <br />2. <br /> <br />3. <br /> <br />4. <br /> <br />$50.00 <br />$25.00 <br /> <br />7f7-0J62 <br />(Phone) <br /> <br />. S7// J <br />(Zip) <br /> <br />(Phone) <br /> <br />~371 "\ <br /> <br />. <br /> <br />(Zip) <br /> <br />5. <br /> <br />Street Address of Property Involved: <br /> <br />6. <br /> <br />Complete Legal Description of Property Involverl' <br /> <br />/of ,t <br /> <br />tJ (o~~ 2. <br /> <br />J . I <br />7. Present Use of Property: J{e5{(Pf\ OP <br /> <br />8. Present Zoning of Property: <br /> <br />9. Variance is requested from the following section(s) of the City code: <br /> <br />1 <br />