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CITY OF ROSEVILLE <br />2660 Civic Center Drive <br />Roseville, Alinnesot a <br />Please check item or items for which you are applying: <br />Rezoning $100 <br />Special Use Permit $100 <br />Vacation of Right -of -Way $100 <br />Preliminary and Final Plat $100 <br />• <br />Division of Platted Lot $50 <br />Relocation of Dwelling $50 <br />Variance to Zoning Ordinance $50 <br />Minor Variance $25 <br />Please complete form by typing or printing in ink. If the spaces provided are insufficient <br />use additional sheets, keying information to the proper item numbers. <br />2. <br />3. <br />Name of Applicant: (First) <br />4. A-c " <br />ress of Applicant: <br />5. ls-� <br />Street Address• of <br />o. and Street <br />� P <br />E L! S <br />roperty Involve <br />C <br />ty <br />Last <br />tate <br />? � 6-U 2 <br />Phone) <br />(Zip) <br />6. Co''��mplete legal description of property involved: �c�, s/D // /,31,oc K K i&ja J <br />Pge ell d 5c-� 1-0 CA T a D / rv, C--, to v I=: h. n/ rA ..:.n. 7` ' 2 T' /-. � X C : i„ w. I . Tn r✓ Al CA ,.' it �,A -1lv e 2 i <br />7. Date Property Acquired:9/17/72 <br />5. Present Use of Property: - C Proposed Use of Property: SW <br />9. Present Zoning of Property: Y)G5),9e-;y?-1A& Proposed Zoning of Property: <br />10. What plan or change makes this request necessary?��,�c,�T�x�5i <br />AS f7A8-r OF %70 urr A00/?evn/ <br />11. What is the expected effect of the proposed change? (For example, on property values, <br />health, safety, parking, traffic conditions, etc.) 1,.-�� �� lee pey C-02ry rAtvc- <br />