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CITY 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 />Minor Variance; Driveway $25.00 <br />Please complete 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 />1 . R I-FR r <br />Tame of Owner: IXSa one <br />2. <br />3. <br />_ 3 <br />Address of Owner: (No. and Street) (City) (state) (Zipo r 1v!,4 T-H 5"(-- H <br />Name of Applicant: (First) (Middle) (Last) (Phone) <br />.� <br />Address of Applicant: (No. and Street) (City) (;sate) (Zip) <br />5. .5-( u) -LZ <br />Street Ad ress of Property Imolved. <br />6. Ckmplete Ing'Al R-4cription of Prqperty Involved:sL4+/V? 1 1Y <br />8. Present use of PrapartY: ,�-� .�-.� o C A <br />9. Present Zoning of Prcperty: R 1 .5 1 0 1.7 ! P ! ! A t <br />'r.. <br />E r% O/V <br />10. Variia= is requested fra.,i they following sccti,an(s) of the cite code: oleo <br />11. Informtion uhaich air u-�-t be „e W=itt cx1 for all appl retie : <br />A. Application and Foe <br />S. 64 x 11" Site Elan shaAng prcpertI lines, and location of all existing and <br />prvposod irprovementz. <br />C. Written approval fran cu= of adjacent or neaxtrl properties, afftc.tad by the <br />variance request. <br />D. Written statement fran theapplicant explaining why the variance i;3 noc:es � <br />and what hardships are present. <br />