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r <br />CITY OF ROSEVILLE <br />2660 Civic Center Drive <br />Roseville, Minnesota <br />Please check item or items for which you are applying: <br />,Rezoning <br />Special Use Permit <br />$100 <br />$100 <br />_ Division of Platted Lot <br />$SO <br />Vacation of Right -of -Way <br />$100 <br />Relocation of Dwelling <br />`— <br />Variance to Zoning Ordinance <br />$S0 <br />$SO <br />Preliminary and Final Plat <br />$100 <br />Minor Variance <br />$25 <br />Please complete form by typing or printing in ink. If the spaces provide, ire insufficient, <br />use additional sheets, keying information to the proper item numbers. <br />1. <br />2. <br />Address o <br />3. <br />Names <br />Em <br />U3 9 e <br />Owner: (No. and Street <br />licant: ffirst)� <br />Last <br />tate <br />Aaaress of Applicant: (No. and Street) (City) (State) <br />5. <br />Street Address - of Property Involved <br />6. Complete legal description of property involved: <br />7. Date Property Acquired: _ /(%�/J, <br />8. Present Use of Property: L�/ Proposed Use of Property: i2� -Ch'It 7 <br />9. Present Zoning of Property: �, �.! slQrt/�i'�t / - Pro osed Zoning of Property: <br />10. What plan or change makes this request necessary? <br />- ,Z2-G �� f <br />11. What is the expected effect of the proposed change? (For example, on property values, <br />health), safety, parking, traffic conditions, etc.) <br />U <br />