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CITY OF rCSEVILLE <br />2660 Civic Center Drive <br />Roseville, Minnesota 55113 <br />Please check item or items for which you are applying: <br />Minor Variance; wilding or non -motorized pathway $50.00 <br />Minor Variance; Driveway $25.00 <br />Please c=plete 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 />�.. 'Zo4tg Cam- sy '' .4. S)-APHC 3�0� 7q 2 <br />Warne o% Wnar: (.ixst) a one <br />Address of Owrner: (No. and Street) (City) (State) (zip) <br />3. ME <br />Name of Applicant (Fixst) (Middle) (Last) (phew) <br />4. 3.4fnf - <br />Address of del irant: (No. and Street) (City) (state) (zip) <br />Street Addr+ of nrqxrty Involved-, <br />G. leto Legal Description of Involved' r ?#aT F <br />�lnlN 2. i bPt u.nr+ L.Yafd 6&Li% 6F A ibis <br />8. ant Use of Property: � t �w��►� <br />9. Pent ZomU g of Propext-1: 1 ?94 t 140 r 64A <br />10. Var�r mxxi f rccn tho t�ol lrxaing rat icrn (s) of this cite oo:e._- <br />1 � <br />11. Infomation which must be aAniitt d for all igTlicnti : <br />A. Application and Fee <br />B. 8}i x 1',1" Site Plan showi prop- rt;y lire, and 1=ticn of all existiM and <br />prrpwkd irprovaxnts. <br />C. Written approvzal from cx. = of ".di ,mast or mievy pmperticit affected by the <br />varianon request. <br />D. Written staterent fran the applicant expla.iniM uby the variance is necessary <br />and wb at harxUa.ipc are presojit. <br />