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• <br />CITY OF ROSEVILLE <br />2660 Civic Center Drive <br />Roseville, Minnesota <br />Please check item or items for which you are applying: <br />r� <br />Rezoning <br />$100 <br />X Division of Platted Lot <br />$50 <br />$50 <br />Special Use Permit <br />Right-of-W-.,y <br />$1.00 <br />$100 <br />Relocation of Dwelling <br />Variance to Zoning Ordinance <br />$50 <br />Vacation of <br />Preliminary and Final Plat <br />$100 <br />Minor Variance <br />$25 <br />Please complete form by typing or <br />printing in <br />ink. If the spaces provided <br />are insufficient, <br />use additional sheets, keying information to <br />the proper item numbers. <br />1. JeAke <br />L- <br />AIOe /SP k, <br />(—Ph—( <br />--- <br />Name of Owner: (First) <br />( Middle <br />(Last) <br />/�, <br />.le) <br />2. .9e) 15 ?/ C� '5 . r <br />Address of Owner: (No. and Street) <br />�J k. <br />3. VQ <br />Name of Applica t : (First) (Middy <br />4. d/S. <br />Address of Applicant-. (!Co. and Street)d <br />Street Address of Property Involved <br />6. Complete legal description��f� p <br />'City) (State) <br />Idle l c <br />(Last) <br />(C t (State <br />rty involved: <br />13 <br />(Zip) <br />9 96, <br />(Phone) <br />.Jr151,115 <br />(Zip) <br />7. Date rope rzo, Acquired: Y <br />8. Present Use of Property: 6/t Proposed Use of Property: & <br />9. Present Zoning of Property: yt -� Proposed Zoning of Property:' Z _ <br />10. What plan or change makes this request necessary? �iVI' er fO <br />11. What is the expected effect of the proposed change? (For example, on property values, <br />health safeg, parking, traffic conditions, etc.) will -4/L — <br />