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•0 <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 $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 provided <br />are insufficient, use additional sheets, keying information to the proper <br />item numbers: <br />1. ���wloTH`I �72h'L J. -'Ok i 7 <br />Name of Owner: (First) (Middle) (Last) (Phone) <br />2 . 3©(;C flvo Pcj Aj(:�-s�I; I fe. t1 i"tJ �'11 <br />ss o - - -- <br />3. <br />4. <br />5. <br />uwner:(No. <br />Name of Applicant: <br />and Street) <br />(First) <br />3d 6F, <br />ess of Applicant: <br />(City) <br />al, �so� <br />k iniaa.ie ) <br />PI-1--mo A� 4JZ__ <br />(No. and Street) <br />cOCr. 2r7b,,) 4tt7 <br />(State) (Zip) <br />(Last) <br />(City) <br />(Phone) <br />(State) (Zip) <br />otreet Address of Property Involved: <br />6. Complete Legal Des, iption of Property Involved: <br />o % I � J�Co cdi <br />PA-4r _ <br />7. Date Property Acquired: <br />8. Present Use of Property: 2_ Proposed Use of Property: <br />9. Present Zoning of Property: 2 Proposed Zoning of Property: <br />10. What plan or change makes this request necessary? e� ULco,�-> O yw"y ,a-,, <br />11. What is the expected effect of the proposed change? (For example, on <br />property values, health, safety, parking, traffic conditions, etc.) <br />n�o e fEECi' <br />