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• <br />CITY OF ROSEVILLE <br />2660 Civic Center Drive <br />Roseville, <br />Minnesota <br />Please check item <br />or items for which you are <br />applying: <br />Division of Platted Lot <br />$50 <br />Rezoning$100 <br />-- <br />$100 <br />_ <br />Relocation of Dwelling <br />$50 <br />Special Use <br />P rmit <br />$100 <br />Variance to Zoning Ordinance <br />$50 <br />Vacation of <br />Right-o 1pi <br />d F' al Plat $100 <br />Minor Variance <br />$25 <br />_ Preliminary an In <br />in or printing in ink. If the spaces provided are insufficient, <br />Please complete form by typing P 4.�,� 3S- ��if <br />use additional sheets, keying information to the proper item numbers. <br />1.kma—m�e <br />Phone) <br />of er: ( first) ( <br />Mi ddle) (Last) <br />2. 137q C L.Otq oR Rd���,i�� <br />Address of Owner: (No, and Street) <br />3 . h <br />Name o£ Applicant : (First) <br />Address of Applicant : (No. a�nU Street <br />5. I3iq C � (/l �'401 8o <br />Street Address of Property Involved <br />fri <br />(City) (State) <br />e) (Last) (Phone) <br />City State) (Zip) <br />M , W %I STIJ 3 <br />6. Complete legal description of property involved: <br />7. <br />y <br />Date Property Acquired:��_.� <br />8. <br />Present <br />Use of Property: <br />r <br />Proposed Use o£ Property: <br />9. <br />Present <br />Zoning of Property: IN <br />Proposed Zoning of Property: '- <br />10. <br />BP dvva �►.�' <br />What plan or change makes this request necessary? �a R �a � 0 c� <br />1 e ?l <br />a �' �Y a .t <br />G <br />LaLi <br />e K 1 C 'f ezr <br />11. <br />What is <br />the expected effect of the proposed <br />(Far example, on property values, <br />change?,,(For <br />E n h z w r e f 4'l r v,)P e0 <br />� <br />health, <br />safety, parking, traffic conditions, <br />etc, csd �y. <br />PC 0 <br />fi ry e EF L rfi= <br />. .. <br />