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<br />PF&92A <br /> <br />CI'IY OF ImE.VIliE <br />2660 CIVIC CENI'ER I:RIVE <br />ImE.VIliE,:MrnNESCII7\ 551.13 <br /> <br />Please check item or items for which you are applyi.n;J: <br /> <br /> <br /> <br />~ <br /> <br /> <br />Minor Variance; B.ri1di..rg or non notorized pathway <br />~ Minor variance; Driveway <br /> <br />$50.00 <br />$25.00 <br /> <br />Please complete fom by typi.n;J or printi.n;J in ink. If the spaces provided are <br />insufficient, use additional sheets, keyi.n;J infonnation to the proper item numbers: <br />fJ~ (J 1'1\ ~A ~y) ~- _S I~ hi\! b secl) 4% 'l-5 <br />Narre of CMner: (First) (Middle) (Last) (Fhone) <br /> <br />d;;)-70 We 5//6f2t-f Ilf\'l/c AI. K.o~ViCLE I>>d .~:;5;11 <br />Address of o..mer: . (No. an:i Street) (City) (state) (Zip) <br /> <br />3. r.DAvl y ~ t)vVl ~s'K \~l~5(Z.C'D 4>?L/-s 3;;:)..1 <br />(Name of Applicant): (First) (Middle) (last) (Fhone) <br /> <br />1. <br /> <br />2. <br /> <br />5. <br /> <br />;:+ 'd-f 0 '-0c'S/1' ~~i-.J Ave <br />(Address of Appl.) : (No. an:i Street) <br /> <br />~;;)-fO LJE::S'rE32rJ ~ ' <br />Street Address of Property Involved: <br /> <br />Complete Legal Description of Property Involved: f MJ, )/0" <br /> <br />rJ ~ /~ Se:v i Lu::: ruN <br />(City) (state) <br />.-e:,~E V I LLE rYl,.J 5 <br /> <br />,--,-- I , <br />~~ <br />(Zip) <br /> <br />4. <br /> <br /> <br />6. <br /> <br />iJ--J-'1- 23-- 43.()oS~ <br /> <br />7. <br /> <br />Present Use of Property: If E S i <br /> <br />8. Present Zoni.n;J of Property: f< ~ I <br /> <br /> <br />9. Variance is requested from the follCMi.n;J section (s) of the city cod.e: <br /> <br />1Q. Info:rmation 'WhidlllllSt be su1:mitted for all awlicatians: <br /> <br />A. Application am Fee <br /> <br />B. 8-1/2 x 11" site Plan shCMing property lines, am location of all existing <br />am proposed improvements. <br /> <br />C. Written approval from owners of adjacent or ,nearby properties affected by <br />the variance request. 7' ) <br /> <br />D. Written statements from the applicant explaining why the variance is <br />necessary am what hardships are present. <br /> <br />