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• <br />CITY OF ROSEVILLE <br />2660 Civic Center Drive <br />Roseville, Minnesota <br />Please check item <br />or items for <br />which you are <br />applying: <br />Rezoning <br />Special Use <br />Permit <br />$100 <br />$100 <br />- Division of Platted Lot; <br />$50 <br />.__..� <br />_ Vacation of <br />Right -of -Way <br />$100 <br />Relocation of Dwelling <br />Variance to Zoning Ordinance <br />$50 <br />$50 <br />Preliminary <br />and Final Plat $100 <br />Minor Variance <br />Please complete: form by typing <br />use additional sheets, keying information <br />or printing in <br />to <br />ink. If the spaces provided are <br />insufficient, <br />the proper item numbers. <br />1. �01F-f mkr� <br />Name of Owner: <br />(First) <br />(Middle) (Last) <br />(Phone) <br />2• 156CA5 <br />_ ! <br />W t wo, Lo(M Art. <br />Address of Owner (No. and <br />Street) <br />(City) (State) <br />(Zip) <br />3. <br />ame of Applicant: (First <br />4. <br />Address of Applicant: (No. an -Street <br />5''I 'S <br />Street Address of Property Involved <br />e) (Last) (Phone) <br />(City) (State) (Zip) <br />6. Complete legal description of property involved: �,(,�,�©dam y�,� Met <br />7. Date Property Acquired: <br />8. Present Use of Property: Proposed Use of Property: <br />9. Present Zoning of Property: ' +�, /J►, <br />P Y� � J Proposed Zoning of Property: � J <br />10. What plan o� change makes this request necessary? Ce ,S «�c �1 <br />11. What is the expected effect of the proposed change? (For example, on property values <br />health, safety, arkinn g, traffic conditions, etc.) S. , o w <br />t. �i�■t - <br />