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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 />Code is available on the Internet: www.ci.roseville.mn.us). <br /> <br />VARIANCE APPLICATION <br />(CITY CODE SECTION 1013) <br /> <br />~ <br />o <br /> <br />RESIDENTIAL PROPERTY OWNER FEE - $100 <br />BUSINESS/INDUSTRIAL FEE - $200 <br />CITY PROVIDED PROPERTY O\VNERS LIST/LABELS FEE - $45 <br />(All fees payable upon submittal of completed application) <br /> <br />Applicants are responsible for placing a City provided "NO'rICE OF LAND OSE 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 <br /> <br />Name of Owner: <br /> <br />(First) <br /> <br />(Middle) <br /> <br />(Last) <br /> <br />(Phone) <br /> <br /> <br /> <br /> <br />0c:) I <br />(State) (Zip) <br /> <br /> <br />2. <br /> <br />Address o.lOwner: (No. And Street) (City) <br /> <br />(Last) <br /> <br />f . . t;34~ <br />.._..__mmm..............m_...-.. .....__~.___ <br />(Phone) <br /> <br />3. <br /> <br />~ b1J 0 IVlOfJ/0YA- <br /> <br />...._...........__._._......___.__-....m.. <br />Name o.f Applicant: (First) (Middle) <br /> <br /> <br />(City) <br /> <br />tVl \\6 <br />___...m_.......m__.._._...__....._..._______..._______......-..-- <br />(S'tate) (2IjJ) <br /> <br />4. <br /> <br />\ [ (d)r;yU.{ 10 <br /> <br />m_...._..........._.~..__._.._.__.. <br />Address' olApplicant: (No. And Street) <br /> <br /> <br />5. <br /> <br />o <br />Street Address o.lProperty Involved: <br /> <br /> <br /> <br />M,u <br /> <br /> <br />Complete Legal DescrzjJtion o.lProperty Invol-ved & PID No. (below or attached): <br /> <br /> <br /> <br /> <br />7. <br /> <br />State exactly what is intended to be done on or <br />the Cit}' Code: <br />O~\ <br /> <br /> <br />property '.vhich does not cOillorm with <br /> <br /> <br />lx1Jo W\7);C, <br /> <br /> <br />Page 1 of2 <br />