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CITY OF ROSEVILLE <br />2660 Civic Center Drive <br />Roseville, Minnesota 55113 <br />Please check item or items for which you are applying: <br />�(� # 183t0 <br />Rezoning <br />$100 <br />Division of Platted Lot <br />i_ <br />$50 <br />_ <br />Special Use Permit <br />$100 <br />Relocation of Dwelling <br />$50 <br />_ <br />Vacation of Right -of -Way <br />$100 <br />Variance to Zoning Ordinance <br />$50 <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 provided <br />are insufficient, use additional sheets, keying information to the proper <br />item numbers: <br />2. <br />Name of Owner: <br />ess of Owner: <br />3. 1\A 0-f� <br />Name of Applicant: <br />4. <br />5. <br />(First) (Middle) <br />(No. and Street) <br />,S <br />First) <br />a <br />(M <br />e) <br />2• 9 0 tN . &qA N,p V 11 <br />Address of Applicant: (No. and Street) <br />2q0 W . (52ANp <br />Street Address of Property Involved: <br />(Last) <br />Ro s(-'VIL�ki <br />( CitY ) <br />CsCLC3�F.c�r� <br />(Last) <br />n� f�0 SEv i LL-� <br />(City) <br />6. Complete Legal Description of Property Involved: <br />\A\ S U Cr N N O. 3 1 1..0 `r 11 ► 13 L o G- . 1 <br />� �Wito <br />(Phone <br />�\N 55)13 <br />State) (Zip <br />H%3-�116 <br />(Phone) <br />m n) 55)l3 <br />(State) (Zip) <br />7. D,,ate Property Acquired: AVu5T)1 C�7 <br />8. Present Use of Property: Proposed Use of Property: <br />9. Present Zoning of Property: Proposed Zoning of Property: <br />10. What plan or change makes this request necessary? <br />1TQ Cr(Lour)Y:) FENCE WE wAr';TTO <br />-"aE Poop. YZN---6?y\rtC:5 -T\ 4L P6NC.0 To %0 GI-05E0.-To <br />Ssne'to NN10tr CO06 W�w�s • - <br />11. What is the expected effect of the proposed change? (For example, on <br />property values, health, safety, parking, traffic conditions, etc.) <br />