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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 <br />$100 <br />Divisie.n of Platted Lot <br />$50 <br />_ <br />Special, Use Permit <br />$100 <br />_ <br />Relocation of Dwelling <br />$50 <br />Vacatit.)n of Right -of -Way <br />$100 <br />Variance to Zoning Ordinance <br />$50 <br />_ <br />— Preliminary and Final Plat <br />$100 <br />`X' Minor Variance <br />$25 <br />Please complete form by typing or printing in ink. If the spa,, -,es provided <br />are insufficient, use additional sheets, keying information to the proper <br />item numbers: <br />1. <br />• � , <br />V r ;' <br />Name of <br />_ <br />Owner: (Fir t) (Middle) <br />(Last) <br />(Phone) <br />2 . <br />)116 1.). E3 ►2 o o Vs plc <br />se u iA I Je <br />Sigil 3 <br />Address <br />of Owner: (No. and Street) <br />(city) (State) <br />(Zip) <br />3. <br />Phi 11h rhrls, <br />RV6AAICIg <br />Name of <br />Applicant: (Fi st) (',Middle) <br />(Last) <br />_.qz)1 <br />(Phone) <br />4. <br />1114 W. sRe oks <br />Roseur ll e r/i'IN. <br />5;S113 <br />Address <br />of Applicant: (No. and Street) <br />(City) (State) <br />(Zip) <br />5. <br />1�9b <br />w �3�00Ks <br />Street <br />Address of Property Involved: <br />6. <br />Complete <br />Le al Description of Property <br />Involved: �e siddnfiiA�i <br />Por• <br />r- Ark No a Hof:3 B(K. <br />r7 <br />7. Date Property Acquired: % 6 8 <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? Spree � Consfrve len/ <br />RE: briucu)AV Code..9,0WXQ1iAhC-e <br />11. What is the expected effect of the proposed change? (For example, on <br />property values, health, safety, parking, traffic conditions, etc.) <br />out - rcv, house fo 'sfreet i 4- eOwNes <br />by+he s+reej. Be,6v +his wAy for <br />from +ka nei,h bons . <br />c lose, to the- rope -eTy ! I n e- <br />�0 Vr-s w�i� N o o� ec+tev) <br />