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<br />CT:"! or FOSE'-.-"IJ..:L
<br />2660 Ci",tic Ce-Tlt.er Drive
<br />Rcsev'lle, Mi."meSOta 55.1..13
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<br />Please d\ec.'< item or ite:ns for ..hie.": yoo. are a~<!..}'i."x;:
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<br />-1. Miner Variance; Build.in:J or ncn-;:c+-....crized t:ath"..-ay
<br />Miror Variance; Driva.:ay
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<br />$50.00
<br />$25.00
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<br />Please ~lete forn by t\'P~ or pri..nti..--q L" ink. If the spaces provided am
<br />insufficiaIt, use additianal sheets, keyi.'"XJ i.."1forraticn to the proper item numbers:
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<br />1. ~. JA/J! c S /-/." t:.,:: ()/(0/c?)A-'?:/<
<br />Na:ne ot OW-ner: ....u.oa.te)
<br />J 7,- J' S ''i';' ,. ....,' ,
<br />, I /'/C (;';,.',f,"c-/l./ !(t"S';-":IIt;;..c
<br />Addr2ss of o.mer: (No. a.TJ:i Street) (City)
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<br />Na1:e of 1\pplicant: (Fi..~)
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<br />Address of ';;:pli~: (No. an:i St.--roee'C.) (Ci'r.y)
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<br />37c/ s. /-?'~ {Ah~/.'i'rV'
<br />Str~t ~ of' ~-ty InIlelved:
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<br />2.
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<br />(State)
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<br />5'S-//3
<br />(Zip)
<br />'/iSf~'/s7
<br />(Ihcre)
<br />S-S-/ / .$
<br />(Zip)
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<br />3.
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<br />(Last)
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<br />{M:.~-lle)
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<br />4.
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<br />(State)
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<br />6. C:::?lete I.e::Jal Description of Pr:::per+-.i L"'!VOlved:
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<br />8. Present Use of Pro::-erty: !' R , ';/l A' E ~ I '.:': ",.c.[
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<br />9.
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<br />Present Zcnin:J of Property:
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<br />10. V..:.riance is req...~t-.ed frc::t tbe fOllCYin:;: sect.i.C.,'1(S) of the cit:' o:de:
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<br />11. Infon:ation wen lIIJst. re sumittOO fer all awlicatia'lS:
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<br />A. .AppJ.':'w~;::: ~ry4 Ff'e
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<br />B, S\ x 11" Site Plan sh::1....1JX3 p::q:e...~' li.r:es, arrl locaticn of aLl. ex.i::>ti.-t; a~
<br />prq::OSE':' i."rIJro\'e.~t.s.
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<br />C. i~it+'..en a;;:roval frc::t C',,"!Ie.I'$ of ildja\..G1t or ne.artv prc~ies affe<.."ted by t'he
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<br />D. Writ'.t...o.'1 st.:ltc:::ent frc:1 t:.e ''3!.''lica..t 1?->:pla:':1i.'):; ",t1y t..'ie "ar:ianc~ is n~sa.rz'
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