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CITY OF POSEVIL►LE <br />2660 Civic Center Drive <br />Roseville, Minnesota 55113 <br />Please check item or items for which you are apply: <br />Minor Variance, <br />Building or non -motorized pathway �$$LAA�f v4PU-ANcn <br />Minor Variance; Driveway pC¢ • @ Nr� 11a6 <br />If the spaces provided <br />or printing in ink. <br />Please cxm�ple�-.e form 'r.�y typing jn;aifficient, vse additional sheets, keying information to the proper item numbers: <br />1. <br />2. <br />3. <br />4. <br />5. <br />Address of Owner: <br />(No. and Street) (City) <br />Name of Applicant: (First) <br />Address of ,Applicant:(No. and Street) <br />street dress of Property involved: <br />L L_k4 <br />(Middle) <br />(City) <br />IN <br />S5 (13 <br />(State) <br />(Zip) <br />>w <br />0/J <br />(mot) <br />(Phone) <br />Mt-,) <br />5`. 1 1 <br />(State) <br />(Zip) <br />c�� <br />6. Complete � Description of Property <br />Ixrvolved: 11'1 , <br />LAY9 11 <br />8. present Use of Property: <br />g. present zoning of Property: <br />ested from the following section(s) of the city code:- <br />10. Variance is requ ,, <br />11. Information which must be suhmi.tted for all applications,. <br />A. Application and Fee <br />B. 81 x 1111 Site Plan show;'ing proitY lines and location of all existing and <br />proposed irprovement d - <br />C . 'Written approval from vw rlers of adjacent or nearby properties affected by the <br />variance request. <br />D. Written statement from the applicant explaining why the variance is necesse y <br />and what hardships are present. <br />