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<br />~. <br /> <br />, <br /> <br />CI'IY OF ROSEVILLE <br /> <br />'1{;rtI-337! <br />R.On. n1 00 "5 e. <br />by <br />Go r-Jy Be~~+h <br /> <br />" <br />\ <br /> <br />., <br /> <br />~ <br />" <br /> <br />2660 Civic Center Drive <br /> <br />Rosevt:l~. Minnesota <br /> <br />J).3;oning $100 <br />-2C Special Use Permit f"/{ Ft( D $100 <br />Vacation of Right-of-WllY $100 <br />== Prelim.,al')" and Final Plat $100 <br /> <br />Division of Platted Lot <br />- Relocation of Dwelling <br />- Variance to Zoning Ordinance <br />- I.Iinor Variance <br /> <br />, <br />If <br />- ~ ~i <br />:t <br />,~ <br />. ~ <br />-1') <br />'f <br /> <br />Pleue check itec or itct'.s for "hich you arc applying: <br /> <br />$SG <br />$50 <br />$50 <br />$25 <br /> <br />Pl~ase complete form by typing or printing in ink. If the spac~s provided are insufficient, <br />use lldditiona! shee , keYlng information to the prop tem numbers. <br /> <br />~r <br /> <br />4. <br /> <br /> <br />(First) <br /> <br />(Middle) <br /> <br />(Last) <br /> <br />(Phone) <br /> <br />1. <br /> <br />2. <br /> <br />3. <br /> <br />(City) <br /> <br />(State) <br /> <br />(zip) <br /> <br />6. <br /> <br /> <br />~ <br /> <br /> <br />7. <br /> <br />8. Proposed Use of Property: Sfr\.{ ~- <br />9. Proposed Zoning of Property: ~.:> <br />10. lIhat plan or change makes thlS request necessary? !Je?:..~ -4 ~F" . <br /> <br />IJ. What is the expected effect of the proposed change? (~or exampleA' ,on pro~crty va!JJes, <br />health. safety. parking. trafflc cOndlt10ns. etc.) N6'>0~ - i'\J((:::..C- n"'l... ~c;'. <br /> <br />'. <br />