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<br />crI.Y OP rosEVIILE <br />2660 CIVIC aNrER IJUVE <br />R:SEVIU.E, H:INNESC1rA 55113 <br /> <br />Please d1eck item or items for which you are applyirq: <br /> <br />Minor vari.an:::e: Buildin:;J or oon motorized pathway <br />:x Minor Variance: Driveway <br /> <br />I:f ;ol<p <br /> <br />,~ <br />"Jf <br />..~ <br />',& <br />? <br />'C~ <br /> <br /> <br />Please cn:rplete form by typirq or printinj in ink. If the spaces provided are <br />insufficient, use additional sheets, keyiIq infornation to ~roper item numbers: <br />1. K A-1l 'b1H I J: (r./i '-'j D ~ 11 'i 8l-- lJLf8/ <br />Name of o.mer: (First) (Middle) () (Fhone) <br />d1 9-1f U/\Yd. ('-/1 5-/- 7.oseuJ'llt, IZ1vt .5"S//5 <br />Address of ().rmer: (No. ani street) (City). (State) (Zip) <br /> <br />2. <br /> <br />3. <br /> <br />4. <br /> <br />5. <br /> <br />6. <br /> <br />7. <br /> <br />8. <br /> <br />9. <br /> <br />lQ. <br /> <br />.f' IJ'*Y'-( <br />(Nama of Applicant): (First) (Middle) <br /> <br />5~ <br /> <br />(Address of Appl.): (No. and street) (City) <br /> <br />..f~ <br />street Address of Property Involved.: <br /> <br />O:mplete I.egal. Description of Property Involved: <br />e I. ~ - z. ".. 'Z.~.. t '!.. () (') 7; <br /> <br />( Last) <br /> <br />(Phone) <br /> <br />(State) <br /> <br />(Zip) <br /> <br />Present Use of Property: <br /> <br />Present ZonilYJ of Property: <br /> <br />--Bd-- <br /> <br />PA ~J( ,,. Gi <br />Variance is requested from the followinj section (s) of the city ccrle: STALL <br /> <br />InfODDatia1 ~ DIJSt be su1:mi.tted for all ~licatiQ1S: <br />~ Application am Fee <br />- -- <br /> <br />~ 8-1/2 X 11" site Plan sha...rin;J property lines, an::i location of all existirg <br />an:l proposed inprovements. <br /> <br />y- Written approval fran CMrIerS of adjacent or nearby properties affected by <br />the variance request. <br /> <br />~Written statements from the applicant explai.ni.n::J why the variance is <br />. necessary an1 what haI:dsh.ips are present. <br />