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CITY OF ROSEVILLE <br />2660 Civic Center Drive <br />Roseville, Minnesota 55113 <br />Please check item or items for which you are applying: <br />Rezoning $100 <br />Special Use Permit Division of Platted Lot $50 <br />$100 Relocation of Dwelling $50 <br />Vacation of Right -of -Way <br />$100 Variance to Zoning Ordinance $ <br />Preliminary and Final Plat <br />$100 T Minor Variance <br />Please complete form by typing or printing in ink. If the spaces provide <br />are insufficient, use additional sheets, roperd <br />eets, keying information to the <br />item numbers: p p <br />JosaPK (,W %WAPA.- <br />oPP�RSm <br />1 • U %LL%o,nti E,a GENE <br />Name of Owner: (s) (First) Last �19W-9iaA <br />Last) (Phone) <br />2. UZS IFzANslTAvE, oseu% MM <br />6 k w U P el <br />Address of Owner: I�oseu'l.l.�,. <br />�s) (No. and Street) (City) (State) <br />(Zip ) <br />3. � <br />Name of Applicant: aP � I k AAti o 1 <br />(First) (Middle) <br />4. _ <br />Address of Applicant:' 2 7 7 LANs ` A, _ �TBIEP0 <br />(No, and Street) (City) <br />5. 6 2 S rIZAAs i r` <br />Street Address ofPropertyInvolved: vA�a <br />6. Complete Legal Description of Property Involved: <br />DF Nno`n, 1I-, _ C'_ — <br />IL, '4a3-Iae <br />(Last) (Phone) <br />id/Al.' - 55// � <br />(State) (Zip) <br />7. Date Property Acquired: A—K)iAA _ ( q� <br />8. Present Use of Property: EflpL Proposed Use of Property: <br />9. Present Zoning of Property: <br />Proposed Zoning of Property: <br />10. What plan or change makes this request necessary? C <br />L�� G. a_ %NNufa. <br />ac rL '� G� ��Pa na A� <br />rnEE- obE i�E F,� 1 1 p c \A T ---•_ '`) �D .c, � ' �u.S N P2�.cr�. � I .r ...•._ ., —. <br />11. What is the expected effect of the <br />property values, health, safet proposed change? (For example, on <br />EN Y, parking, traffic conditions, etc.) <br />Fnl1-IArJC�M£NR,on— <br />