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m <br />0� <br />CITY OF ROSEVILLE <br />2660 Civic Center Drive <br />Roseville, Minnesota 55113 <br />Please check item or items for <br />4Rezoning which you are applying: <br />SpeClal Use Permit <br />Vacation of Right_ ig -- Division of Platted L <br />Preliminary -Of-Way $100 Relocation of °t $50 <br />and Final Variance to Dwelling <br />Plat $100 Zoning Ordinance $50 <br />Please com Minor Variance <br />ire are insufficient form b $25 <br />use ddip�onalrshrintin <br />m numbers: 9 in ink. If the <br />sets' keying information spaces Provided <br />1. to the proper <br />Name of Owner: C_ N <br />2. <br />(First) <br />1;.,Op 1. � ► �; �-`i�1�, � u • <br />Address of Owner: <br />3. (No. and <br />Name Of <br />PPlicant: (First) <br />4. _ <br />Address ®f ,� ��'�= <br />PPlicant: <br />6. <br />7. <br />a. <br />9. <br />10. <br />(Middle) <br />street) <br />(Middle) <br />d Street) <br />Street Address of Pro <br />perty Invol <br />Complete ved' <br />mpl Legal Description of Pro <br />^' PertY Inv <br />Date Properti* Acquiripd; <br />CityU�5 - j <br />(Cl ty <br />Last) <br />(State <br />(Last) <br />(Phone) <br />� J (Zip) <br />_!Phone) <br />(State) (Zip) <br />Present Use Of ProPetty;Cu;srTJ c.Z'ccr) <br />�, Sn�nvN <br />Present Zoning of Property: — Property: Proposed Use of Pro -1/1"' S <br />� � � �- y; o UrC <br />What Proposed Zoning of P <br />P Plan <br />change <br />makes this ro request Petty: �- <br />...L. necessary? <br />1x• What <br />is the expected effect of <br />Property values, health the proposed <br />O� safety, parkin ehange? (For example <br />,1' -c✓ .c%� ��✓arc,= traffic conditions <br />' on <br />jc cond ' ns, ) <br />.-..f,�.,,,.,._ ,;,,,_,� ...,.ram.,.,.. ..• .;.�_ ,.,.,..x r+�-� , <br />t <br />