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<br /> <br />RECt:r\i~r: Mav <br />L. " ~ I'''' <br /> <br />1~ <br /> <br />CI'IY or IU>E\1:C.LE <br />2660 CIVIC ~ !:RIVE <br />K~mI.E. ~ 55113 <br /> <br />Plrese dleck item or iu!!!lS ~or ..t>.idl yo; <'~ aw1yi.-q: <br /> <br />Mil"cor \"arian:Je; lll:~di.>y;J or non !:D""..nrized F.."th"..-ay <br />=x Mimr Varia.'"Y.:e; Dr:.veway <br /> <br />~r:' 00 b LfrtJ f:. (i T <br />$~.OO 'y~I~a;. <br />. .. <br /> <br />Please a:::plete roD:! t ,=}'Pirq cz prif1t.i."13" i.'"I in.1c. If t.~ spaces p..."'"OIrideC a.."'e <br />insufficiE'nt, use addit.31C:l sheets, keyi..~ i.&fornaticr. to the p..'OpP..I iteo ~: <br /> <br />1. <br /> <br />l~' (_ 0 \~-i <br /> <br />,.-.~.-=-:.-i..-.2.. ~() <br />(rh..~) <br /> <br />L. \:- _ ~- <br />p<<...iddle) <br /> <br />" .. ! ':t(~): <br /> <br />Nai!Ie ot Owner: <br /> <br />(FLrst) <br /> <br />:!. <br /> <br />--:,,-'~- -~ \ ~ <br />A::Hress of UIw'ner: . <br /> <br />. .. <br />." - ~ ~ ':- _ '; L'--. <br />(No. are SW~!.) <br /> <br />--.. <br /> <br />\.: l' <br />.. .',-, <br /> <br />;=.~; ! i -::' <br /> <br />'t" <br />(Ci~~) <br /> <br />(State) <br /> <br />(Zip) <br />&- -~. ~-,.-- \:...2:5 C <br />(Rn1e) <br /> <br />3. <br /> <br />i I ':::- i 'C-.j <br />(Ncme of Awlica.'1t): (F:j~i ...., <br /> <br />!-t! e.. ~ j"..:- \", '1 . -~, <br />(lI!iddle) {lasT:) <br /> <br />4. <br /> <br />-.~ -~ -......... ... . <br />- ; \ ;~ i (': '0; ~ -: J. <br />(M:iress cf lI;:pl.): (No. an:i street) <br /> <br />{sta't.e} <br /> <br />!. ~ <br /> <br />~ <br /> <br />. '. <br /> <br />: , ~ <br /> <br />.~.~~ i I~ <br />(Zip) <br /> <br />(City) <br /> <br />'0; .~. ~. ... . <br />5. ~ -',--\ .), ~... ~0 .. ~ ~ i <br />street ~ of PtqJerty I.n\-olved: <br /> <br />6. C:mplete I.e:;al Description of ~"'"ty .!m-"91Ved: <br /> <br />~ot ~l ~~~1:1t~p1: ;::~.:~a.iD~ <br /> <br /> <br />7. Pr2se:tt. ese of Property: H ;" ", ~ <br /> <br />8. <br /> <br />Prese.-.t Zor~ of ~: <br /> <br />j. ..' +... ~ , <br />t._':""_;""~" <br /> <br />9. Variance is r.?qUe::.-ted from the foll~.i..-x< se...-tior:{s) of t,t.e city cOO€:: <br />DC", I..'f' LU.. ~ ~ ~ +- b~d(. f\"'"o m .5.\ c1~ \; n~ <br /> <br />10. L'1fotmtioo wd1 as: be su!:1ni~..a1 far all CIR}lic:aticr.s: <br /> <br />A. At~l icati;:),. a.-n fee <br /> <br />B.. 8-1.'2 x 11" Sir..e Pla.T1 sho.Ni~ p~?'"'t-}~ lL-es, O,;~ lcc.1tic~ cf ail e...xisti.-g <br />aiC pro~ i'T,r::-v€::ler:ts. <br /> <br />C.. Written aFPtu'~"al fr:::t:1 ~~~ of ~dj.~~"1t '-4.- :'-t.....a}-ty p~c~"':t:es 3f~~~oo toy <br />the '"va.ri3..~--:e r~'\(f~~t.. <br /> <br />D. <br /> <br />~"ri'tt.G.." st..::te.,;~~t.s f~ t.r-;e ..-"!=piic..lai~ e.:'Pl..)i:1-l;~ <br />~c:-..aI)~ ar:j ...,t-~...~t. h.1.rci.sJ1i~ ~-e prc.:..~:t.. <br /> <br />K':' ~ \, <br /> <br />t...~e '.:a.:-.ia::~ 15 <br /> <br />