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C= OF R06EVIL1E <br />2660 Civic Center Drive <br />Rosa.rille, Minnesota 55113 <br />Please check item or items for which you are applying: <br />• Building or non -motorized pathway $50.00 <br />Minor Variance, �� / Minor Variance; Driveway $25.00 <br />Please ocm'rplete 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 />/ (�qV- <br />-doS <br />1. a one <br />Name or <br />irs <br />2. (State) (Zip) <br />Address of Owner: (No. and Street) (City) <br />3 , (Last) (Phone) <br />Name of Applicant: (First) (Middle) ( oFF�� G�-vr73 <br />I S' 3 7 c r J w �� !� �� , �f� �r //N <br />4. (State) (zip) <br />Address of Applicant:(No. and Street) (City) <br />/f y v <br />Street Address of Property Involved: <br />6. C,omplete Legal Description of Pro Iryvolved:�. �. - <br />/ 7«J.Thl ic /C r� n 1.::.� l/ c v •• <br />IC <br />ry -7 - <br />r" 4!.141, r .21 ....... . ...... <br />w <br />8. Present Use of Property: AL <br />9. Present Zoning Of Property: c s ' I section(s) (s) of the c. code: <br />from the following , <br />10 . Variance is requested <br />11. information which test be s t-x ittod for all applications: <br />A. Application and Fee <br />B, 8' x 11" Site Plan showing prop(artY lines, and location of all existing arxal <br />proposed irprovements. <br />C. Written approval from owner-, 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 />