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C= OF ROSEV= Le CAM V- ' Y <br />2660 Civic Center Drive <br />Rrrseville, Minnesota 55113 <br />Please check item or items for which you are applying: <br />Minor Variance; Building or non -motorized pathway <br />Minor Variance; Driveway <br />Please omplete form by typing or printing in ink. If the spaces provided are <br />insufficient, use additional sheets, keying information to the proper item numbers: <br />11. <br />2. <br />3. <br />4. <br />S. <br />6. <br />Address of Owner: (No. and Street) (City) (State) (zip) <br />Nam of Applicant: { <br />(Middle) <br />c. k <br />( na) <br />A&jrm�s of Appl cant: (tio. arErect) (City) (Stag) (Zip) <br />S-- <br />±10it ex <br />Stroat Address of PrcpartY IMOlv0d: <br />Clate Ll �iption of Property Involved: <br />110viL 1 t 1 nt"2Z? 0- %a'� C ---- <br />S. Pint Use of Prvparty: aEA t' .A,", <br />t <br />9. i rezent : �tlni of arty: e 1 A> & -' 77: <br />10. Variance i8 re y"st-cd fzcm the follo*.aiM soc:t,icn(3) Of t,4 City code:...._,....._._...�� <br />11. InfoJCmLim %4xict G4Nxt be :..ittcd li.Fi. 4111 '*9l iC f:mll1tianG: <br />A. Appl i at icn v-d Re ' <br />B. 8% x ill, Site Plan :haAng prcperti liner, and location of all existing ard <br />propoc.ori inprovarants. <br />C. Written apprcr, l f z r:!.r.; of adjacent or ntharby prQpai-tics a f fc by the <br />varies m z sent . <br />D. Written sta-tarent frum, tho applicant explaiadM why the variance is necessary <br />and ,&vit hardsJups are present. <br />