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<br />, <br /> <br />~ -- <br /> <br />'I <br /> <br />~sevIbbE <br /> <br />ZQ10 <br /> <br />2660 CIVIC CENTER DRIVE <br />ROSEVILLE, MINNESOTA 55113 PHONE: 490-2279 FAX: 490-2931 <br /> <br />Please check item or items for which you are applying: <br /> <br />Minor Variance; Building or non motorized pathway <br />==:K Minor Variance; Driveway <br /> <br />$50.00 <br />$25.00 <br /> <br />Please complete form by typing or printing in ink. If the spaces provided are <br />insufficient, use additional sheets, keying information to the property item number: <br />(i-O L{ ~ I -- ()~; '/ s.~ <br />1.0 57)5- f..{ 2uS:- <br /> <br />1. <br /> <br />-q;'c ~( <br /> <br />L .e-c. . <br /> <br />.~ . <br />1<0("0 ~vjv.: I <br /> <br /> Name of Owner: (First) (Middle) (Last) (Phone) <br /> '39r:; ,/1'lI/II/1 (.:.j oft\.- 4 (-?v)C 1/;' {& o/J/I,'. c.;=~ / / .3- <br />2. ... '//c-- <br /> Address of Owner: (No. And Street) (City) (State) (Zip) <br /> <br />3. <br /> <br />:X'I IVI <:.. ~1) t< ()tl L/ e. <br /> <br />Name of Applicant: (First) <br /> <br />(Middle) <br /> <br />(Last) <br /> <br />(Phone) <br /> <br />4. <br /> <br />Address of Appl.: (No. And Street) <br /> <br />(City) <br /> <br />(State) <br /> <br />(Zip) <br /> <br />5. <br /> <br />3qff //1/~I/li.,J(:r/"?~ ..4i./G <br /> <br />~ ' <br />/(0')( (,,1/1 c: <br /> <br />..tltl, _CS-;l.:: <br /> <br />Street Address of Properly Involved: <br /> <br />6. Complete Legal Description of Property Involv~rl' .'" ' <br />\f\J~o( u-F ;;5'/. (pp-r6l/f/ 1~?3" Cl~ I? 1/2./1/& I/;; o (:'sfvJ '/2- <br /> <br />7. Present Use of Property: Res'! ~~!i,J~L\ \ <br /> <br />CITY OF RDSEVILLE <br /> <br />8. <br /> <br />Present Zoning of Property: <br /> <br />CITY OF ROSE\ilp.E . I <br />2550 CIVIC CEN[ER ~RlvE <br />ROSEVIllE, NN :;.51 L; <br /> <br />Recei veti Fr-Olil: RQG[]~lSKI .. <br />. .. . 1" /':'OIfj'l 11m2: <br />Dace: \.I}L.... \""""11') <br />Receipt Nuliltte\':..... ,\.i\.)',)"j\. '. <br />Cler\!. Code: HELF! <br /> <br />11 :Oiahl <br /> <br />9. <br /> <br />Variance is requested from the following sectio <br /> <br />nUl REFEHH1CE <br /> <br />Al4UUNT <br /> <br />-.-.-- ~ --- <br />- ---- ---- <br /> <br />--~-- ------ -~- <br /> <br />"'Oh1n\1 <br />L ),11< .. W.A-~""'" <br />T~P\A::.n;M' ,. <br />cmruR VAH~~rF <br /> <br />~\.t'l <br />0..0-: <br /> <br />,00 <br />25.00 <br /> <br />C:51100 <br /> <br />(:5800 <br /> <br />Check <br /> <br />_",..~_,_,u,_.-._---- <br /> <br />.00 <br /> <br />Change: <br />THANK 'iOU <br />