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<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.roseville.nm.us). <br /> <br />VARIANCE APPLICATION <br />(CITY CODE SECTION 1013) <br /> <br />:ef RESIDENTIAL PROPERTY OWNER FEE - $100 <br />o BUSINESS/INDUSTRIAL FEE - $200 <br />a CITY PROVIDED PROPERTY OWNERS LIST/LABELS FEE - $45 <br />(All fees payable upon submittal of completed application) <br /> <br />Please read application carefully before completing. Missing information will deem application incomplete. <br /> <br />Please complete application by typing or printing in ink. If the spaces provided are insufficient, use additional <br />sheets, keying information to the proper item numbers: <br /> <br />~u (g,S'I- l (l(2 <br />(Last) (Phone) <br /> <br />\J " "Der&~ <br />(City) (State) <br /> <br />'"?o?EJ5lLL I ;J\.J <br />(Last) <br /> <br />1. <br /> <br />(First) (Middle) <br /> <br />(~,JJJe\\1 <br /> <br />Address of Owner: (No. And Street) <br /> <br />---;Z,.r' 'I r,:'t... \ \--r /~'-"7' -I\.- ~ <br />, L.':::A..0....J \J J.-<.- YD\;-- ~,q "7 \. <br />Name of Applicant: (First) (Middle) <br /> <br />,?f-;J ~ E~W \J .~ <br />Address of Applicant: (No. And Street) <br /> <br />10(0') \I':GC\d~f\ 5\, <br />Street Address of Property Involved: <br /> <br />Name of Owner: <br /> <br />2. <br /> <br />3. <br /> <br />4. <br /> <br />'1 Ef6 E:K <br />(City) (State) <br />"'7;C.f M~J <br />\CO':"'"JEV::IlA,,[ . \IV <br /> <br />5. <br /> <br /> <br />tcnlrl{90..1'lt{bZ- <br />(Zip) <br />5"5\ () <br />(Phone) <br /> <br />tos \ ~ v(&tL1'=li vi '52- <br />(Zip) <br />5" 5- \\ '''3 <br /> <br />" ~ It <br />::clfS ~'~C\O~f\ s\ ~ '1c7E\.~l-Lf-- IV\ N S' 51 t:5 <br /> <br />6. Complete Legal Description of Property Involved & FID No. (below or attached): <br /> <br />7. State exactly what is intended to be done on or with the property which does not confonn with <br />the City Code::c Wov\d \l \c{: to ~O'i \d ot detqc~d <br /> <br /> <br />Page 1 of2 <br />