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9 <br />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 />Division of Platted Lot <br />$50 <br />_ Special Use Permit <br />$100 <br />Relocation. of Dwelling <br />$50 <br />,Vacation of Right -of -Way <br />$100 <br />_ <br />Variance to Zoning Ordinance <br />$50 <br />Preliminary and Final Plat <br />$100 <br />Z Minor Variance <br />$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 />GE-Z—tsw <br />CL.S►�.i� <br />AS4---7-11•Z <br />Name of Owner: (First) <br />(Middle) (Last) (Phone) <br />2 . <br />Address of Owner: (No. and <br />Street) (City) <br />(State) (Zip) <br />535-�353. 'ems, <br />3. <br />I IMt�`1� <br />y0.�S1N6 <br />2.24-e439�''s <br />Name of Applicant: (First) <br />(Middle) (Last) (Phone) <br />4 . <br />1011 +POO-Lt <br />V) 111vG-: Sr. <br />t*q 55104 <br />Address of Applicant: (No. <br />and Street) (City) <br />(State) (Zip) <br />5 • <br />P oS-5 w �Becc kS <br />Street Address of Property <br />Involved: <br />_ <br />6. <br />Complete Legal Description <br />of Property Involved: <br />7. <br />Date Property Acquired: I <br />-PecC.ESe� <br />8. <br />Present Use of Property: <br />Proposed Use of Property: %510t4'i&L. , <br />9. <br />Present Zoning of Property: <br />Z-1 Proposed Zoning of <br />Property: Q,-j- <br />10. <br />What plan or change makes this <br />request necessary? <br />A, 1�AxlM�M eNc�20Ac11MCNr o� 12<< oN e''r3o 547�3 1 <br />0-24 AU <br />EooTtN� L.tN -ro SGF J ls1.l " Mb4t <br />W 1460SE LJN5 �'I MW2111M <br />, EACULDIM, I' OVEUW�� <br />11. What is the expected effect of the proposed change? (For example, on <br />property values, health, safety, parking, traffic conditions, etc.) <br />NOtAe <br />