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<br /> <br />CITY OF ?QSEIlI'".J.E <br />2660 Civic Cerlt.er Drive <br />Rcseville, MirJ"k?SOta 55li3 <br /> <br />Please check item or ite!::s for w"hich yoo are applyirg: <br /> <br />_ Mir..or Variance.: arildiTio. ''Jr non-:'!Otorized pat.'1way <br />_ Minor Variance: Driveway <br /> <br />$50.00 <br />$25.00 <br /> <br />Please ccmplete fom by typil-q or ~ in ir.k. If t.~e spaces prcvidad axe <br />.u..:.:ufficie..rrt:, USE: additional sheets, keyirq IDfODDation to the proper iiem t1IJI!IiJe.-s: <br />,1 /7 '. <:---:-,... <br />1. ^ ~ ($ E R T ,/'-j L LEM - /?.:; I( i 2. Y Y3 - / i:/j <br />Name ot UWI1er: (.rlI5t} (MiCICU.ef" (laSt) (H1One) <br /> <br />2, <br /> <br />/-/1:-/1-11- (, <br /> <br />D~ <br />an::i S'"<-t'eet) <br /> <br />-~) -.-, ,- <br />t\_'.,.,.~ t= Ltl L!... !::- <br /> <br />S-J'/1..3 <br />(Zip) <br />'f r 'S-'/'F/./ <br />(Phone) <br />~/3 <br />(Zip) <br />~113 <br /> <br />, I- <br />v ~ 'I <br />I <br />Address of O<<ner: (No. <br /> <br />~: f"~ "-"'" <br />f\~CL~. <br />Nar.Ie of ~licant: (F.i.:o:-"'1:) <br /> <br />1%1/ <br />(State) <br />S;:rHrfTZ <br />(!.:lst ) <br />;-Icf;f! <br />..\J <br />(state) <br /> <br />(City) <br /> <br />/~t L t:~.N' <br />(Middle) <br /> <br />3. <br /> <br />4. <br /> <br />..-., <br />It~S~~UL L E <br />(City) <br />/} <br />f;'e:\F!/JLL':-- <br /> <br />)f/1/ <br /> <br />6. <br /> <br />C 'i1 !-/t:.l'H-t.... ~ <br />Address of Appi..ica.,t: (No. ard StJ:eet-,) <br /> <br />&'( 9' II 1::'- iI-JEt.... VI? <br />Street Address of Propert"j Involvm: <br /> <br />O:IIplete legal Description of ~.I Involved: <br />I-! ()~ y.,-".1/<::: 0 U)".i\..s1S'O !,.jtk1:::Slifl!?E <br />, Lcp-r 'I ell( I <br /> <br />5. <br /> <br />8. <br /> <br />Present Use of Propert"./: f.! e S 10 CIVT/'9 L <br />Present ZcJninJ of ~'rcperty: tfF<;/oI:-IVII.1-L- <br /> <br />9. <br /> <br />10, Varianca is requested trcm the fallewin;)' section{s) of the city o:::de: <br /> <br />11. InfODlntiC.'1 .m.id1111JSt be subnitt.ed far all awlicaticns: <br /> <br />A. Application an:1 Fee <br /> <br />B. 8~ X 11" site Plan uad."B' pi.-cperty lines, and lC\.":aticn of all e.:-.isting an::l <br />p~ :iIq:irove.I!Ents.. <br /> <br />C, Written awrc\Tal fITM1 a..-ners .')f adiacent or ~>i)y prcperties aff.e-...--t.e:: by t."1e <br />variarx::c req<..:est. <br /> <br />D. Writtc.n state.';1e11t frc::l the arplic..:m-t e.,:plaifli,"lg ..:hy tr.e variance is n~--ess..uy <br />ard. '.,'hat him:is.'lips .rre present. <br /> <br /> <br />.. I <br />