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a <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 <br />Special Use Permit �. Divisi,�n of Platted Lot $50 <br />_ Vacation of Right -of -Way $100 — Relocation of Dwelling $50 <br />PVariance to Zoning Ordinance $50. <br />Preliminary and Final Plat <br />$100 Minor Variance <br />Please complete form b t provided <br />are insufficient, use dditional printing in ink. If the spaces ro <br />item numbers: 1 sheets, keying information to the proper <br />proper <br />1' <br />IF <br />K <br />Name of Owner ( First ) 'J�b <br />(Middle) (Last) 2. (Phone) <br />Address of Owner14 cur L� F <br />: (No <br />. and Street) QCity) (State) <br />3. (Zip) <br />Name of A4. pplicant : Fi t A u OA L L ✓�o O R S <br />( rst) (Middle) <br />(Last) (Phone) <br />Address of Applicant:Sr oS F �xc �F S-f1 <br />pa �No and street) (City) (State) (Zi <br />5. to d,6 o � (Zip) <br />Street Address of roperty involved: d. <br />6. Complete Legal Descriptio of <br />pert Involved:5 <br />7. Date Property Acquired: 7 — 1 <br />8. Present Use of Property: <br />Proposed Use of Property: <br />9. Present Zoning of Property: �-(, Proposed Zonin <br />g of Property: <br />10. What plan or change makes this <br />equ t nece sar ? <br />11. What is the expected effect of the <br />Property values, alth, safe Proposed change? (For example, on <br />Y, parki g, traffic conditions, tc.) <br />