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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 <br />Special Use Permit $100 <br />Vacation of Right -of -Way $100 <br />Preliminary and Final Plat $100 <br />Division of Platted Lot $50 <br />Relocation of Dwelling $50 <br />— Variance to Zoning Ordinance $50 <br />L 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. 2755- /9 UaoN <br />Address of Owner: <br />3. kil/` <br />4. <br />Name of Applicant: <br />Address <br />(First) (Middle <br />(No. and Street) <br />ILTG A` <br />AO/,/ 5T, <br />Applicant: <br />(Last) (Phone) <br />v 14LO57- 111AI 551I3 <br />(City) (State) (Zip) <br />First) (Middle) <br />R054111�.I_E <br />(No. and Street) (City) <br />5. '� 75-6- 1f61R0/� 5-r, Ra -c YI.4.E <br />Street Address of Property Involved: <br />A 4- <br />(Last) <br />l *36 I Z/,Z <br />(Phone) <br />V/1/. 5-y/': <br />(State) (Zip) <br />6. Complete Legal Description of Property Involved: <br />I°/,A/ 12�- 03 ._ay-A3 - y3 - 003 <br />4n 'T I 6 L!& ! .S C HM / 0 i 3 q AK4 /9L 1442G � ES 8-4-A T / <br />7. Date Property Acquired: 0C"T, l 94 g <br />8. Present Use of Property: 146Mg Proposed Use of Property: d dtf <br />9. Present Zoning of Property: Proposed Zoning of Property: <br />10. What plan or change makes this request necessary? O usf IS Jam' <br />Fg,r.7- OF r- of G19,RAGE WYA-L dz� �24YS5,Er <br />0or'row of P1Z0P'4_R i y �( I <br />11. What is the expected effect of the proposed change? (For example, on <br />property values, health, safety, parking, traffic conditions, etc.) <br />