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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: www.ci.roseville.mn.us). <br /> <br />~ <br /> <br />V ARIANCE APPLICATION <br />(CITY CODE SECTION 1013) <br /> <br />o <br /> <br />RESIDENTIAL PROPERTY OWNER FEE - $100 <br />BUSINESS/INDUSTRIAL FEE - $200 <br />CITY PROVIDED PROPERTY OWNERS LIST/LABELS FEE - $45 <br />(All fees payable "pOll submittal of completed applicatioll) <br /> <br />Applicants are responsible for placing a City provided "NOTICE OF LAND USE ACTION" sign on the subject <br />property at least 10 clays prior to the scheduled hearing beft)re 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 <br /> <br />Name of Owner: (First) (Middle) (Last) (Phone) <br /> <br />/'JI-;ci Ja.ncJ r;y~vVL- C60Ja M.,,',....;l/l,-t-f ASS/JL,' r:l~f-lgL":I lRS'I-&33- f!~l;? <br />Address of Owner: (No. And Street) (Ci(v) (State) (Zip) <br /> <br />dd dO' /-A.; J IGflJ &-rd v~. f?-ec,J-OPp../C;C; t2aS;.{. vd 1<-) I'^-r--J S'S'I15 <br />Name of Applicant: (First) (Middle) (Last) (P/(one) <br /> <br />7A()~y".s -r:: N ~,+L l/~ J,,:_;><J 1-'1060 Cell <br />Address erAppl~al1t: (No, A~ld Street) (City) (State) . (Zip) 5/;;t/ 2 g <br />Q-l/~ fYrr- Gt> "4/C'\.f) I ~s . -lb r' <br />Lqq CI)()h {26~I)/d~' (;/Yd.- 5/lf l/{)(Jn f2~/df; I\'IN <br />Street Address ofProper!.}1 Involved: <br /> <br />2. <br /> <br />3. <br /> <br />4. <br /> <br /> <br />5. <br /> <br />6. <br /> <br />j;> ~O N:& l<1:n() G rd \t^e- ~{t_.I2~k v/I Ie} /V\/'J 5"'5" ~ <br />Complete Legal Description of Property Involved & PID No. (below or attached): <br />SG~ czlLh.. h/-I-:; (I A)I 'I~ If ., I( C II <br /> <br />----.------..------+..-----.--.-+ <br /> <br />7. <br /> <br />State exactly what is intended to be done on or with the property which does !lot cOl!form with <br /> <br />the G.l;iJ.:v. Code: r. I . I. n I, jI f? II )t If /I 1/ <br />~U 'Z...J.tf\1 bJ~ A.,s. 'Y v <br />. / . <br /> <br />Page 1 of2 <br />