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<br /> <br /> <br /> <br />COMMUNITY DEVELOPMENT DEPARTMENT <br /> <br />2660 CIVIC CENTER DRIVE <br />ROSEVILLE, MINNESOTA 55113 <br />PHONE: (651) 490-2279 FAX: (651) 490-2931 <br />(City Code is available on the Internet: www.ci.roseviIIe.mn.us). <br /> <br />VARIANCE APPLICATION <br />(CITY CODE SECTION 1013) <br /> <br />5 RESIDENTIAL PROPERTY OWNER FEE - $100 <br />o BUSINESS/INDUSTRIAL FEE - $200 <br />m' CITY PROVIDED PROPERTY OWNERS LIST/LABELS FEE - $45 <br />(/JUIces payable upon submittal of completed application) <br /> <br />Applicants are responsible for placing a City provided "NO'fICE OF LAND USE ACTION" sign on the subject <br />property at least 10 days prior to the scheduled hearing before the Planning Commission or City Council. <br /> <br />Please complete the application by typing or printing in ink. If the spaces provided are insufficient, use <br />additional sheets, keying information to the proper item numbers: <br /> <br />L Name of Owner: (First) (Middle) (Last) (Phone) <br /> 70 <br />2. Address of Owner: (No. And Street) (Ci(}') (State) (Zip) <br />3. Name o/Applicant: (First) (ivfiddle) (Last) (Phone) <br /> <br /> <br />4. <br /> <br />Address or <br /> <br /> <br />. (No. And Street) <br /> <br />(.State) <br /> <br />(ZljJ) <br /> <br />7 <br />5. Street Address (~lProperty Involved: <br /> <br /> <br />6. Invarved & PID No. (below or attached): <br /> <br /> <br />7. State exact!}/ what is intended to be done on or with the propert)' lvhich does not cOf1(orm lvith <br />the Cit)' Code: <br /> <br /> <br /> <br /> <br /> <br /> <br />Page 1 of2 <br />