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• <br />CITY OF ROSEVILLE <br />2660 Civic Center Drive <br />Roseville, Minnesota <br />Please check item or items for which you are applyi--,g: <br />r� <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 />Variance to Zoning Ordinance <br />$50 <br />Preliminary and Final Plat <br />$100 <br />Minor Variance <br />$25 <br />Please complete form by typing or printing in ink. If the spaces provided are insufficient, <br />use additional sheets, keying information to the proper item numbers. <br />1• CAWi <br />Name of Owner: (First <br />2. <br />3. <br />S. <br />e <br />Las t <br />418-9- s <br />(Phone) <br />Address of Owner. (No. and Street) (City) (State) (Zip) "- <br />Aaaress of Applicant: (No. an Street)Cit Y (State) (Zi <br />PTW— <br />Street Address of Property Involved <br />6. Complete legal description of property involved: <br />�.4&6Z 7. • t r w <br />Date Property• -• <br />8. Present Use of <br />Property: &1&IZ <br />i29h4 (al4R* rC—Proposed Use <br />of Property: <br />9. Present Zoning <br />of Property: <br />Proposed Zoning <br />of Property: <br />10. What plan or change makes this request necessary? <br />11. What is the expected effect of the proposed change? (For example, on property values, <br />health, safety, parking, traffic conditions, etc.) <br />