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FYI <br />e � q <br />."2 L j 1 <br />CITY OF ROSEVILLE <br />2660 Civic Center Drive <br />Roseville, Minnesota 55113 <br />Please check item or items for which you are applying: <br />_ Rezoning $100 _ Division of Platted Lot $50 <br />Special Use Permit $100 Relot;ation of Dwelling $50 <br />Vacation of Right -of -Way $100 Variance to Zoning Ordinance $50 <br />_ Preliminary and Final Plat $100 Minor Variance $25 <br />Please complete form by typing or printing in ink.. If the spaces pzovided <br />are insufficient, use additional sheets, keying information to the proper <br />item numbers: Mal Jo Co r)n01111 ro i-) t <br />Name of Owner: �('Firsc) (Middle) (Last) (Phone) <br />2. /G/U� <br />Address of Owner: (No. and Street) (City) (State) (Zip) <br />3. PoicxvjCCc_ mr 1 Cl a�, 5 jli- <br />Name of Applicant: (First; (Middle) (Last) (Phone) <br />4 . 1 ti / fj,) J. . <br />ess of Applicant: (No. a <br />Street) (City <br />5 • inG�i n <br />Street Address of Property Involved: <br />6. Complete Legal Description of Property Involved: <br />JeGI /o n /S . �f1-�►�ta 2-7� %zc'ny,-,' 2,3 <br />., _ <br />(State) (Zip) <br />/U� <br />f a�i-W �-� S fi �./-•ep..7� �`iu—.�.�st. it/� � ��1u�P.t-(J <br />7. <br />Date Property Acquired: <br />J9 R 3 <br />J` S <br />8. <br />Present Use of Property: <br />a, t'Proposed Use <br />of Property: Srtrn.e <br />9. Present Zoning of Property: Proposed Zoning of Property: <br />10. What plan or change makes this request necessary? rR 4w P4 <br />24421-a4n(L--� `'Lei- ) to -PrQn+ cr✓ /a /C1�- �_r/" ke,c,4�-Q 0 (',l <br />11. What is the expected effect of the proposed change? (For example, on <br />property values, health, safety, parking, traffic condi�t7ions , . etc . ) <br />� n aAX tidAL t1AAO h <br />-t III - -,Q , A-- () h.x.t_a 0 I[-<. 1--0 , ti J. 4 .. 19: � K _ -A . . . n -e - - _ <br />