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cm JF ppSEULLE <br />2660 Civic Center Drive <br />goceville, Minnesota 55113 <br />Please 'check item or items for which You are applying: <br />• or non -motorized pathway $50.00 <br />Minor Varian► ��! $25.00 <br />Minor Variance; Driveway <br />If the spaces provided ante <br />Please complete form by typing or printing in ink. . <br />insufficienLadditional sheets, keying information to the proper item n�'"m <br />�-a <br />o� o� <br />2. <br />Address of owner: <br />3. <br />4. <br />kov. 9"AA -----► <br />address of App.Llcanz : k tvv . "A M+ <br />5. <br />Street Address of <br />6. <br />g, present Use of Property: <br />g, present Zoning of Property: 41-- <br />10. Variance is requested from the following section's) of the city code: <br />11. InformatlM whsch mist be mkmitted for all applications: <br />A. Application and Fee <br />ing properlines,ljs, and location of all existing and <br />B. 8 ; x 11" Site Plan show <br />proposed imProvemmts . <br />roval front owners of adjacent or nearby properties affected by the <br />C. Written app <br />variance request. <br />D. Written statement from the applicant explaining why the Fiance is necessary <br />and what 1,ships are present. <br />FA <br />