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CITY OF ROSEVILLE <br />2660 Civic Center Drive +r. <br />Roseville, Minnesota 55113/" 4+ <br />Please check item or items for which you are applying: <br />Rezoning $100 i Division of Platted Lot $50 <br />Special Use Permit $100 Relocation of Dwelling $50 <br />Vacation of Right-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 owner: <br />2. <br />Address of Own <br />3. <br />Name of App <br />6 i LI-TA <br />(First) <br />s/ <br />255 q <br />er: (No. and <br />/ I <br />Middle) <br />9�4-,YEV <br />(Last) <br />Nt A"DD <br />Street) (City) <br />3G�. <br />(Phone) <br />'Ile MNs 11-3 <br />;State) tZip) <br />cant: (First) (Middle) (Last) <br />(Phone) <br />4 . <br />Address of Applicant: (No. and Street) (City) (State) (Zip) <br />5. .2� S"9T N..Ye l/ wD od z5t JQaS e vl ! lam' A .3 <br />Street Address <br />of Property <br />Involved: <br />6. r„o,(nplete Legal <br />Description <br />of Property Involved: <br />�Ooe� <br />7. Date Property Acquired: % 7 <br />8: Present Use of Property: I Proposed <br />oposed Use of Property: <br />Si - <br />9. Present Zoning of Property: :---R1 Proposed Zoning of Property: _ <br />10. What plan or change makes this request necessary: <br />RE: MR. 9A RaN H, 8P14N V66 s l ette-y' o min z, / ff <br />11. <br />�t�' <br />YP-�4t a w as ; s S o *he -z d r','✓e s k4 a :17�4 emh a c-q- <br />What is the expe8ted effect of the proposed change? (For example, o <br />property values, health, safety, parking, traffic conditions, e <br />I <br />