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0 <br />1 <br />CITY OF <br />ROSEVILLE <br />2660 Civic <br />Center Drive <br />Roseville, Minnesota 55113 <br />Please check item or items for which <br />you are applying: <br />Rezoning <br />$100 <br />— Division of Platted Lot <br />$50 <br />_ <br />Special Use <br />Permit $100 <br />_ Relocation of Dwelling <br />$50 <br />_ <br />Vacat_jn of <br />Right -of -Way $100 <br />_ Variance to Zoning Ordinance <br />$50 <br />1 t $100 <br />Minor Variance <br />$25 <br />_ Preliminary and printing Fina P a � <br />Please complete form by typing or rintin in ink. If the spaces provided <br />are insufficient, use additional sheets, keying information to the proper <br />item numbers: <br />Name of <br />Owner: (First) <br />('Middle) <br />(Last) <br />(Phone) <br />2 . <br />.s 6 UK t.4 <br />kosej <br />4,10. <br />`�l 3 <br />Address <br />of Owner: (No. and Street <br />(City) <br />(State) <br />(Zip) <br />3. <br />ea <br />s 3 <br />Name of <br />Applicant: (First) <br />(Middle) <br />(Last) <br />(Phone) <br />4. <br />Address <br />of Applicant: (No. <br />and St eet) <br />(City) <br />(State) <br />(Zip) <br />5. <br />2q 2N <br />Ot, 1. ,,,- <br />L y►„ <br />Ls-l!3 <br />Street <br />Address of Property <br />Involved: <br />6. <br />Complete <br />Legal Description <br />of Property <br />Involved: <br />Zo j7 <br />7, L V <br />o <br />�..-C <br />7. Date Property Acquired: <br />8. Present Use of Property: deProposed Use of Property: <br />9. Present Zoning of Property:�e e,. �JProposed Zoning of Property: <br />1 0 _ What plan or chancre makes this request necessary? T-L,,r - -Lred► /ac 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 />In 0 n 'e — <br />