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t9 <br />x <br />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 Division of Platted Lot <br />Special Use Permit 5100 Relocation of Dwellin $50 <br />Vacation of Right-of-way $100 w Variance to Zoning Ordinance $50 <br />Preliminary and Final Plat $100 Minor Variance. <br />-- $25 <br />Please complete form -by typing or <br />printing in are insufficient, use additional sheets, keyingninformak. If thespoctheaes Provided <br />item numbers: tion <br />l3�Pr r <br />As Pep- Pi.tQCNASL= ACP.eewLv=�j-C- D►�; � ,� � m r�� 3 �, ► �,�,t� '� <br />Name or Owner : (First) PE2s rn �-ni 48"3 I o03 (1-1� <br />(Middle) (Last) (Phone),. <br />2. <br />Z %12�N51� U� CSEvLLL <br />ess of Owner: (No. and Street) <br />• (City) <br />3. <br />4 <br />5. <br />Name of Applicant: <br />( First) (C�liddle ) <br />(a Z'- - -- uc <br />ess of Applicant: (No. and Street) <br />veyMbvi/t 5 S /I <br />State) (Zip <br />(Last) (Phone) <br />(City) (State) (zip) <br />Street Address of prour�u ,r tucNL4e 0 0 �v CS Ss�I <br />perty Involved: <br />6. Com fete Legal Description of Property Involved: <br />` <br />7. Date Property Aequirgd: Pt <br />A ,P ,/ <br />Grl��� <br />8. Present Use of Property:_ proposed Use of Property: - <br />/ <br />9. Present Zoning of Property;, 1� <br />�-J � proposed Zoning of property: - <br />10. What plan or change makes this request necessary? <br />E 1t�G,.1 /-—129, <br />L �'-d►rr <br />11. What is the expected effect of the <br />Proposed change? (For example, on <br />property values, health, safety,, <br />1ti� /-x0e- -rc0 /='r-Fe Sh,�+LL pparking traffic conditions, etc.) <br />IC7! /-/C-:- f�GLofYiGd I <br />r�/ArYl�lALu� Tio�J nF "Tiro <br />G:/,n r- .—n �/•9c1eQ(Zete,niav L/ ..r_. .t.-,... <br />