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R� 20657 CITY OF RJ6EVIl i�: -12.7 2660 Civic C mter Drive iseville, Minnesota 55113 Please check item or items for which you are applying: FUD Rezoning Special Use Permit Vacation of Right -of -Way Preliminary and Finw3 Plat $750 Cmiprehensive Plan Amendment $750 $300 Division of Platted Lot $100 $200 Relocation of Dwelling $100 $200 Variance to Zoning Ordinance $200 Ma Shoreline P nidt $ 50 $loo Please complete form by typing or printing in ink. If the spaces provided are insufficient, use additional sheets, keying information to the proper item numbers: 1. Mari,i,i C. Hansen Name of Owner: (First) (Middle) '(Last) (Phone) 2. 2808 Lakeview, Roseville, Minnesota 55113 Address of Owner: (No. and Street) (City) (State) (Zip) 3. 2R08 Lakeview. Roseville, Minnesota 55113 Name of Applicant: (First) (Middle) (Last) (Phone) 4. Address of Applicant: (No. and Street) (City) (State) (Zip) 5. Street Address of ProAerty Involved: 6. Complete Legal Description of Property Involved: See attached certificate 7. Date Property Acquired: �uvac S. Present Use of Property: Homestead 9. Present Zoning of Property: Single lot Proposed Use of Property: Homestead Proposed Zoning of Prcperty : SPlit Lot into two lots 10. Present Comprehensive Plan Designation: Low Density Housing Proposed Comprehensive Plan Designation: Low Density Housing 11. Wh.at plan or change makes this request necessary?--P-r-elimina-r-y--.and--f-inal._�pt 2o allow property owner then opportunity to sell off part of owned property for a single family home. 12. What is the expected effect of the proposed change? (For example, on property values, health, safety, parking, traffic conditions, etc.) 1•0�' � p � ri- � i�-t