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<br />Rf)SIMbbE <br /> <br />Df rr~ <br />IC ~.; () ~ '11 <br />q(1-'ci1 <br /> <br />2660 CIVIC CENTER DRIVE <br />ROSEVILLE, MINNESOTA 55113 PHONE: 490-2279 FAX: 490-2931 <br /> <br />Please check item or items for which you are applying: <br /> <br />~ Minor Variance; Building or non motorized pathway <br />_ Minor Variance; Driveway <br /> <br />~oo->") <br />"-. ./ <br />$25.00 - <br /> <br />Please complete form by typing or printing in ink. If the spaces provided are <br />insufficient, use additional sheets, eyin~atioF to the property item number: <br />1. ~ 1-6 ~ I ~ i - <br />Name of 0 r: (First) (Middle) (Last) (Phone) <br />2. c:Jf?frl 5 ;~~d#\ Qps€-vd/e 1111\ '".<;57/3 <br />Address of Owner: (No. And Street) (City) (State) . (Zip) <br /> <br /> <br /> <br />3. <br /> <br />Name of Applicant: (First) <br /> <br />(Middle) <br /> <br />(Last) <br /> <br />(Phone) <br /> <br />4. <br /> <br />Address of Appl.: (No. And Street) (City) <br /> <br />(State) <br /> <br />(Zip) <br /> <br />5. <br /> <br />Street Address of Property Involved: <br /> <br />6. Complete Legal Description of Property Involven' <br /> <br />7. <br /> <br />Present Use of Property: <br /> <br />\ <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 />