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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 />Minor Variance $25 <br />Please complete form by typing or printing in ink. If the spaces are insufficient, use additional sheets, keying information to the roper <br />item numbers: proper <br />Name of 0 er: (First) (Middle) <br />Z) (Last) (Phone) <br />Address of Owner: (No.1 and Street) <br />3. 'Ta. "-/ P <br />Name of Applicant: (First) (Middle) <br />4. fa <br />Address of Applicant: (No. and Street) <br />5. 237 Z�3�D <br />Street Address of Property In lved: <br />6. Complete Legal /Description of Property <br />;City) <br />(Last) <br />(City) <br />volved: <br />'�-S ii - S <br />State) (Zip) <br />(Phone) <br />(State) (Zip) <br />7. Date Property Acquired: _l Z "7 Z <br />8. Present Use of Property: ill lde4eyO Proposed Use of Property: <br />p y: she <br />9. Present Zoning of Property: f-&'Si 1,q Proposed Zoning of Property: <br />La <br />10. What plan or change makes this request necessary? ahc belN 4 <br />/ 1987, 74e c rvewa s F2371a,,Qkd ---- <br />T f/� Q G Io P L/Yre� �� n, f <br />ra <br />1P C a.� / v�/ w lcrfLr !s 13 Fie'` T�p�, vr,,,,f U,oG_ a t. ,l1 /ar�l4cP a /o <br />Glurc/dr �Piu(�Pra%� c�riuPwauS Ftd.«� fro ` f/ P 7` �o Flo Cleo <br />La /4hCe <br />rouP2) <br />11. What is the expected effect of the proposed change? (For example, on <br />property[ values, health, safety, Parking, traffic conditions, etc.) <br />e°C <br />� <br />h a i nCe. ,rOriv u,ftft;e:l <br />