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<br /> <br />Cl.T'i OF :R:"6F..VIl.U: <br />2660 CIVIC c.::mn:R rIU.VE <br />Ia>E.VIU.E, KnNESOrA 5SlD <br /> <br />Please (~e('-k item ar items for ..1"1.ic.h yoo. are C'.pplyirq: <br /> <br />I <br />~ !>".i1'1Or V~iax:e; Blild.i.rx; or nc-n !OCJtorized patl:"way <br />~tinor Variance; Drivesag <br /> <br />$50.00 <br />$2'5,00 <br /> <br />Please carplet3 form by t}'Pin:! or printing in ink. If the spaces provided are <br />i.nsufficient, u.;;e additiaml sheets, keyi.rq infonnatior. to t.~ prcper item. numbers: <br />1. JliC~v\~ ~ L---!iJ'Of\ 0uHtv\\ C) ~~~1-~O <br />N<me of Otmer: (Fust) (Middle) (last) (P.1one) <br />/I I ,1..- I l "" O,y ~ 'I ." "--" ,.-, . . ~ <br />2. L..~I(C -:t\)1"h H.-~.IJCCQ ~'f:;: IV/t..'v,L.{.~ I ; \t-J, ~.711 ~J <br />Mdress of 0Nner: (No. am st..--eet) (City) (State) (Zip) <br /> <br />3. _ .r;JP,fYL/ r~...-\}-JL1 H~-~t-~ Cr"lW~ {pt3L <br />{Name of Applic.1:"1t}: (First) (I.fiddle) (!art) (Rla."1e) <br />4. ?€4\ -r:~j\~;' ~,-f. Lz', ~J\rth_ tv'tkl, '?S4-\O <br />(Address of AwL): (No. aIrl s~t) (City) (state) (Zip! <br /> <br />5. ~4'(P ~"111 ~L\JtVD L-f'~re. k<0~,-/!l...L-e ;v~rJ ~iI~ <br />Street Ad:h"ess of Prc:pert}, L'1V"Ol ved: <br /> <br />6. <br /> <br />~~te ~ Description of ~ Irrvolved: <br />~~{:()C? , /.Qf -; fU.(~ S <br />LO. ~ \1- 'L~ -v,- \4- . (1')70 <br /> <br />7. <br /> <br />,"",.'.n-; '~ <br />Pre.se:,t Use of Prof;e...""ty: f't..":'I v~.... <br /> <br />5. <br /> <br />Present ZoniIxj of Property: <br /> <br />/7' <br />iV-I <br />\ . <br /> <br />~~!>~ <br /> <br />9. <br /> <br />Variance is reque::,-tai fron the foll~ing section(s) of the city ~: <br /> <br />-- <br /> <br />10. Infornatim wtiidt 1!ll...<:t be sutmitted for aU awlicatians, <br /> <br />A. Application ':i:"d Fee <br /> <br />a. 3-1/2 x L" site Plan shawirx:l p:t.upe....~. linP.s, am lcx:aLion of all e.xisti....X; <br />a.a:l p~ i..<;Jrov-er.-er:ts. <br /> <br />C. Writ:+"...en apprv,-al fr::n CO.Jne..."'"S of adjacent. c'r nearby praperties affected 1:;y <br />the '-iarianc'2 request.. <br /> <br />D. h'ritter. statemer.ts fran the awLcant cxplaini.n<.j ...."hy t.\;~ ....'<':ianL."'€ :.~; <br />nece.s:-:.ary a:...j 'I. ,hat harciships are p~lt. <br /> <br />