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<br />dl.c>o1 <br /> <br /><, <br /> <br />. .. <br /> <br />crT! OF FCSEVTUL <br />2650 C:ivic Ce.'1tpr Drive <br />RoseviEe, !'.inneso a 55113 <br /> <br />Please c:t'.eck ite:1n or items for 'wtU:::h ycu d..""e ~l.y'...n:;: <br /> <br />X- Mi!10r vari.-ance; Build.in:J or no..""1--::c'""...crized patr:...ay <br />_ Minor Varicmoe; Drive.>ay <br /> <br />$50.00 <br />$25.00 <br /> <br />.' <br /> <br />Please c:c:F.plete form by typ~ or pr...nti!~ in ink. If the spaces provided are <br />jCl9.lfficient. use adcU,tion.::l sr.eets, ker~ inforr-..aticn to the proper item IIUIi'b:rs: <br /> <br />1. ~)-tp ,.6'1 6"\ ~\:,J~('\h,J ~e~ <br />Nane c.t (hT.er: -, (l"L.""St) lM.1.OOle) (!.aSt) <br />l' /II '-'d O} i:I:Ai <br />2. (1 \5 LV. C"1'"J~ D 1".(.6.(--:: i its i'1'\j <br />Address of ~:ner: (No. an::i street) (City) <br /> <br />",-,~ .,.~ ~ <br />L/C,-I I IG <br />(First) <br />c <br />, 'if yyL' <br />...... \~ <br />Addte5!: of Applicant: (No, an:i Street) <br /> <br />0{15 C <br />street Mdre:s3 of ~l IIrvolv ': <br /> <br />(State) <br /> <br />Ltg g -~gw do <br />(mane) <br />:=fS iI ~ <br />(Zip) <br /> <br />3. <br /> <br />Na;m of Aj-:plicant: <br /> <br />(Middle) <br /> <br />(rast) <br /> <br />(lJhone) <br /> <br />4. <br /> <br />(Cit:y) <br /> <br />(State) (Zip) <br />k-,: ~UJ 5'51\ 3 <br /> <br />s. <br /> <br /> <br />6. <br /> <br /> <br />8. Prese.,t Use of PrCpe:rty: !"::CS \cie.,lCe...' <br />9. Present Zcni..n:J c:f Property: ~e:"c\ t:. V::,<', \ <br /> <br />Iv. Variance is req....ested frcm the follCNIi..~ section{s) of t.~e city cOOe: ';, J'1/: <br /> <br />11. Infon:ntim which !WSt: be sulnittcd for ail appliC3-t-.iOOS: <br /> <br />A, ~plication and Fee <br /> <br />... <br />B. 8\ x :an site Plan sha,.;i.ng pro"fill"ty l.i:1€s, ani 10G..lticn of all exist~ ani <br />proposed i.~rm'€.t~'.:s. <br /> <br />C.' w"ritte,;, a'f:Traval fr= ,x..T~ of adjac.:mt or nearty prcpe..."ties affec'"--ed by the <br />vari3..0'1Ce rcquQst. <br /> <br />D, ~'rit:ten s~t.c."7eI)t fn;:;;-t t..'le ap?lica:lt €.'\'Plainin::j wt:y t.'1e vari.ance is necessary <br />arrl \.t:at hards..'ups are ::1:'....<::(>J1t. <br />