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. r' <br />• <br />• <br />CITY OF ROSEVILLE <br />2660 Civic Center Drive <br />Roseville, Minnesota <br />Please check item or items for which you are applying: <br />$100 Division of Platted Lot $50 <br />Rezoning $100 Relocation of Dwelling $50 <br />Special Use Permit Variance to Zoning Ordinance $50 <br />Vacation of Right -of -Way $100 Minor Variance $25 <br />�r Preliminary and Final Plat $100 <br />Please complete form by typing or printing rinting in ink. If the spaces provided are insuffici <br />use additional sheets, keying information to the proper item numbers. (, t <br />l" /v Mid (Last) ; (Phone) <br />Name of Owner: (First ( <br />le) <br />� Ste" j<DS�t�I,��� /`'lnl�C� <br />2. (city) (State) 4p)- <br />Addk s of Owner: (No. and Street) <br />3, Gc. Last) (Phone) <br />Name of Applicant : (First) (Middle) { <br />4. �KZIG S Q State) (Zip) <br />Address of Applicant: (No. and Street) (City) <br />5 . <br />Street A dress•of Property Involved <br />6. Complete legal description of operty invplved: <br />7. Date Property Acquired: <br />8. Present Use of Property: J4Djs4iS <br />Proposed Use of Property: 5Qj#nC <br />9. Present Zoning of Property: R P`�o_��Ct <br />Proposed Zoning of Property: <br />10. What plan or change makes this request nee�ceessar ? er'f" S; v <br />v <br />For example, on prope y values, <br />11. What is the expected effect of the proposed change? ( P <br />parking, traffic conditions, etc..) W <br />health, safety, p g� � <br />Vt i V'P�4s r� L 61L <br />