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0 <br />CITY OF ROSEVILLE <br />2660 Civic Center Drive <br />Roseville, Minnesota <br />Please check item or items for which you are applying: <br />Rezoning <br />Special Use Permit <br />,$100 <br />$100 <br />Division of Platted Lot <br />Relocation of Dwelling <br />$50 <br />$50 <br />Vacation of Right -of -Way <br />Preliminary and Final Plat <br />$100 <br />$100 <br />Variance to Zoning Ordinance <br />Minor Variance <br />$50 <br />$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 />1. <br />ame of Uwner: (First <br />2r('j cE <br />(Middle) <br />0PIS HF_ifly\ <br />(Last) <br />2. 2yq� N AL_f3F VT s+, 20st=v, L. L. - <br />Address of Owner: (No. and Street) (City) <br />3. i3 IZ N -0 <br />Name of Applicant: (First) <br />4. 2-� 'II N AL-6ER i S-V, <br />Address of App 1 i cant-7 7No. an <br />l...A�.v2 E NCB <br />(MiddI <br />reet <br />5 . Z 4 °t Ff 71 ST <br />Street Address of Property Involved <br />P,OSMV 1LL-r=- <br />ty <br />mN <br />State <br />i_0PSit�P11'1 <br />(Last) <br />mN <br />State <br />(Phone) <br />ss113 <br />(Zip) <br />(Phone) <br />S S- r c3 <br />6. Complete legal description of property involved: <br />- Lo-T- /F� , $LOC(k �3 i4O�R j/IS l�©ITN V �F' •� <br />7. Date Property Acquired: . C2e.QA (q g(j <br />8. Present Use of Property: l�,e 0. vq Proposed Use of Property: <br />9. Present Zoning of Property: ��Lc ����� Proposed Zoning of Property: S <br />10. What plan or change makes this request necessary? 'q n IQ <br />(Zip) <br />11. What is the expected effect of the proposed change? (For example, on property values, <br />health, safety, parking, traffic conditions, etc.) N p N 551 <br />s d�f lQeff�jl >Ic2 <br />