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<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: ww\v.ci.roseville.mn.us). <br /> <br />V ARIANCE APPLICATION <br />(CITY CODE SECTION 1013) <br /> <br />t! RESIDENTIAL PROPERfY OWNER FEE - $100 <br />o BUSINESSIINDlJSTRIAL FEE - $200 <br />~ CITY PROVIDED PROPERTY OWNERS LIST/LABELS FEE - $45 <br />(All fees 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 arc insufficient, use <br />additional sheets, keying information to the proper item numbers: (lvk ) l~<o- {40l <br /> <br />1. Name ofO,vner: (First) (Middle) (Last) (Phone) <br /> <br />2. <br /> <br />tf.4 <br />Address of Owner: <br /> <br /> <br /> <br />q <br />(No, And Street) <br /> <br />(Ci(}) <br /> <br />(State) <br /> <br />3. <br /> <br />Name of Applicant: (First) <br /> <br />(Middle) <br /> <br />(Last) <br /> <br />(Phone) <br /> <br />i/ 4 <br />4. Address of Applicant: (No. And Street) <br /> <br /> <br /> <br />5. Street Address o.fProperty Involved: <br /> <br /> <br />6. Complete Legal Description a/Property Involved & PJD No. (below or attached): <br /> <br /> <br />7. <br /> <br /> <br />Page 1 of2 <br />