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e <br />�N FOR DIVISION <br />,APPLICATIO <br />OF PLATTED LOT PER CITY <br />CODE SECTION 20.140 <br />CITY OF ROSEVILLE, MINNESOTA <br />' e�tions: Fill out this form in duplicate by typing or printin g in ink. Sf the spaces � <br />Di r ': <br />provided are insufficient; use additional sheets, keying information to the <br />_ proper itern number. �' <br />, . � � �� �. <br />�/�R <br />�• (Fir t) (Middle) <br />Name of OwYzer : (Last ) . ` <br />:-- � /la.:�//il t% .S�.S�I i <br />2. .,5 �� �l%� (City) (State) (7.ip) <br />Address of Owner: (No. & St eetj <br />3. � ��� v /l%� __����L , , � <br />Street.Address of Property In <br />ved: <br />� 4. Legal Description of Property Involved: <br />� <br />5. <br />6e <br />�c. ei 5 �c r�✓� <br />t Zanin District: �` �` <br />pz�esen 5 � � � <br />-- Date : <br />Recommended for Approval: �• <br />pub�c •�orks Directo <br />�, ppproved: <br />Date . <br />� <br />