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• <br />CITY OF ROSEVILLE <br />2,60 Civic Center Drive <br />Roseville, Minnesota 55113 <br />Please check item or items for which you are applying: <br />Rezoning $100 _ Division of Platted Lot <br />Special Use Permit $100 — Relocation of Dwelling $50 <br />_ Vacation of Right -of -Way $100 Variance to Zoning Ordinance $50 <br />` Preliminary and Final Plat $100 Minor Variance <br />$25 <br />Please complete form by typing or printing in ink. If the spaces <br />ded <br />are insufficient, use additional sheets, keying information to thep roper <br />item numbers: proper <br />Name of Owner: <br />(First) (Middle) (Last) (Phone) <br />2. <br />Address of Owner: (No. and Street) �/--3 <br />(City) (State) (Zip) <br />Name of —Applicant: (First) <br />(Middle) (Last) (Phone) <br />4. <br />Address of Applicant: (No. and Street) (City) <br />5. 4 ''. 111/ (State) <br />Street Address of Property Involved: <br />6. Complete Legal Description of Property Involved: <br />- (lam - -r /'. A.1 e r . : - - - <br />7. Date Property Acquired: ZKU. <br />8. Present Use of Property: i1.0 P <br />&7/AL-Proposed Use of Property • <br />9. Present Zoning of Property: Proposed Zoning of Property: <br />10. Wh t plan or change akes this request necessar ? <br />'r"„ - --" - - - r i.il /� ifs /7 F. i, .. _ .. _ •--� ..� <br />11. What is the expected effect of the <br />Proposed change? (For example, on <br />property values, h alth, s fet <br />Y, parking, traff' conditions, etc.) <br />