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r <br />r � <br />CITY OF ROSEVILLE <br />2660 Civic Center Drive <br />Roseville, Minnesota <br />Please check item or items for which you are a <br />1 <br />PP Ying. <br />Rezoning <br />Special Use Permit $100 $100_ Division of Platted Lot Vacation of Right -of -Way $100 Relocation of Dwelling $S0 <br />Preliminary and Final Plat _ Variance to Zoning Ordinance $50 ' <br />$100 Minor Variance $50 <br />Please complete form by typing or $25 <br />use additional sheets keyin g Printing in ink. If the spaces provided are g �°s ation to the proper item numbers. <br />a1yjh a insuffici <br />1 • 5 )Aay/e a /?k iRslS <br />Name of p lv 3 /6 3 2. <br />S y r<t�ri�qq CU. A�-u��cls �33-/S6� <br />2 u HWy Flo osr_-ei/I/�m�,r/5->�i3 Last) <br />C3�00 1 19Ut rvw SSa[2 (Ph011C) <br />Address of <br />Owner: (No. �.nd Street) <br />3. (City) (State) <br />(Zlp) <br />Name or ,applicant: <br />(First) Pdddle) —2�s76 <br />4. Sett/ {Last) (Phone] <br />Address �`s�e /�� ' <br />«� qPPlicant - (NO, and Street ) !/ j-/lam <br />Y) (State) <br />(Zip) <br />Street ess• of P • <br />rop ty Involved <br />6. Complete legal description of property <br />1ai-f�eS P ,y involved: L.a.,,1� urue <br />7. Date Zpe"rty Acquired: <br />S. Present Use of Property; p i3u; tc� <br />9. Present Zoning of Property: e5i Proposed Use of Property: u <br />10. What plan or change makes this request <br />Proposed Zoning of Property;Res�c�ez <br />s t ne c s s ary? Q b L,-4,1 d— <br />i <br />11. What is the expected effect of the proposed change? <br />health, safety, <br />parking, traffic conditions, etc.) (r example., on property pl-P y values; <br />