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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 />Rezoning $100 _ Division of Platted Lot $50 <br />Special Use Permit $100 _ Relocation of Dwelling $50 <br />Vacation of RigAt-of-Way $100 Variance to Zoning Ordinance $50 <br />Preliminary and Final Plat $100 K Minor Variance $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 />1. _ <br />Name of C' ,iner : <br />2. "X/.S / /e'-e <br />3. <br />4. <br />5. <br />GECi2 <br />(First) <br />�� <br />Address of owner: V ( No . a <br />Name of Applicant: (First <br />.S'� ro04 &Vc <br />(Middle) (Last) <br />G(1 A0 S Fes, l�� /l'lil <br />Street) (City) <br />)J (State) <br />(Middle) <br />Address of Applican „ (No. and Street) <br />Street Address of Pro rty Involved: <br />City) <br />(Last) <br />(Phone) <br />S-3 �� 3 <br />(Zip) <br />(Phone) <br />S S t/ <br />(State) (Zip; <br />Ae--ev ,s 'j 'r/ <br />6. Complete Legal Description of Property Involved: <br />. 5e < 13 —� Tiv�t1 a2 - �G -2 3 Q Tiz -z / -- Zn 0 0 -2 3 <br />CZ22 <br />--- I <br />7. Date Property Acquired: ,�9 -�~ 7 <br />8. Present Use of Property: �'�.S" Proposed Use of Property: ieo s. <br />9. Present Zoning of Property: I'Ps Proposed Zoning of Property: s. <br />10. What plan or change makes this request necessary? <br />s .s l c- t c --n X P*t,� <br />11. What is the expected effect of the proposed change? (For example, on <br />property values, health, safety, parking, traffic conditions, etc.) <br />d�'✓S ate, o�+►�- <br />1,1114 <br />Gv/ l <br />