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ICITY OF ROSEVILLE <br />2660 Civic Center Drive <br />Roseville, Minnesota 55113 <br />Please check item or items for which you are applying: <br />Minor variance* Building or non -motorized pathway $50.00 <br />Driveway <br />$25.0!D <br />Minor Variance;Y <br />or printing in ink. If the spaces provided are <br />Please ccTnplete form by typing item nmibers : <br />insufficient, use additional sheets, keying information to the p'r 1ober % 3 / <br />ORr-ZN 1" one <br />1. o er: ors e <br />ame <br />2. (State) (Zip) <br />Address of Owner: (No. and Street) (City) ! �- <br />3.ORE& Last) (Phone) <br />Name of Applicant: (First) (Middle) <br />4. _._ (State)(Zip) <br />Address of Applicant:(No. and treet) (City) <br />16 <br />5' ' � �� �� `v - r Involved: <br />Street Address of Property <br />tion of Property Ilved:nvo <br />6. Complete Description D - 3 <br />8. Present Use of Property: <br />9. Present zoning of Property: <br />10. Variance is reque <br />sted from the following section(s) of the city code: <br />11. Information which must be omitted for all applications: <br />,ems bid e., <br />A. Application and Fee <br />B. 8%2 x 11" Site Plan showing property lines, <br />and location of all existing and <br />proposed improvements. <br />C. Whitten approval from owners of adjacent or nearby properties affected by the <br />variance request. <br />D. Written statement from the applicant explaining why the variance is necessary <br />and what hardships are present. <br />