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�a say s <br />CITY OF ROSEV= <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. <br />2. <br />3. <br />4. . <br />5. <br />�-f <br />Name of UZe—r: irsf) <br />(M <br />a(last) <br />one <br />le.s /o1SC <br />tl� ire <br />1 �r7 <br />Address of Owner: (No. and <br />Street) <br />(City) <br />(State) <br />(zip) <br />owe//'? <br />p,5De05 ors( <br />8Y-6 7.?3 <br />Name of Applicant: (First) <br />(Middle) <br />(Iast) <br />(Phone) <br />Address of Applicant:(No. aM <br />Street) <br />(City) <br />(State) <br />(zip) <br />Ca-c 4)67 ��� <br />/F515 e d r /lam <br />lyC k64'z.. <br />Street Address of <br />Involved: <br />Complete legal Description of Property Involved: <br />8. Present Use of Property: rS i cl4? tie", <br />9. Present zoning of Property: 6e 5 - <br />10. Variance is requested from the following section(s) of the c code: <br />11. Information which mist be s k nitted for all applications: <br />A. Application and Fee <br />B. 8-, x 11" Site Plan showing property lines, and location of all existing and <br />proposed improvements. <br />C. Written 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 />