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cmOF ROSEVI= <br />60 civic Center Drive <br />26 Mlle,Minnesata 55113 <br />Please check itemor items for which you are applying: <br />$50.00 <br />hwa <br />Minor Variarx Buil�n4 or non -motorized paty $25.O0 <br />ianoe • Drive.Aray <br />Q�#-- 2Jy55 <br />a� Minor Var <br />�+�-" If the spaces Provided are <br />Please CCffPleta form by typingonnatiam to the per' item num�r-s: <br />insufficient, use additional shee keying (�3 - 90PQ <br />70 1 �i " " 4 `rr� �T one <br />Ra5,e(/f4[r,f MY <br />2. (State) <br />�s of Owner: (No. and Street) (City) <br />ln�J'909 <br />�o J r (Middle) (Last) (Phone) <br />3. Name of Applicant: (First) '+ ��. <br />4. C ✓�l G-o 7-79E S%, r2As'� ��u.� (ate) (Zip) <br />Address of Ap licant.. (No. and Street) (City) <br />C .141494. o " -TLC- Ste' <br />5. t A� of property Irnrolved: <br />ion of Property In�tolved: <br />6. CcuPlete Legal Descrlpt , / 1.4 M - <br />8. present Use of Property: <br />9. Present Zoning of Property: <br />requested fromm the following section (s) of the city code • <br />10. Variance is <br />11. Inf=Aatic n whic h must <br />be sUbmitted for all applicatials: <br />A. Application and Fee <br />propertylines, and location of all existing and <br />B. 8h x 11" Site Plan showing <br />proposed improvements. <br />approval from owners of adjacent or nearby Properties affected by the , <br />C. Written PP <br />variance request. <br />D, Written <br />� stat�em'�ent from the <br />applicant <br />and at explaining why the dance is necessary <br />Wl hardships are Present. <br />