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t <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 x Division meted Lot $50 <br />_ Special Use Permit $100 y Relocation of Dwelling $50 <br />_ Vacation of Right -of -Way $100 Variance to Zoning Ordinance $50 <br />_ Preliminary and Final Plat $100 — Mipor Variance $25 <br />Please complete form by typing or prin ing in� If the spaces provided <br />are insufficient, use.additional sheets, keying information to the proper <br />item numbers: <br />Name of Owner: <br />Aadress of Owner: <br />I. <br />r, <br />(First) <br />3. /5 yaG C e- <br />Name of Applicant: <br />4. 3 0 10 1-0 <br />Address of Applicant: <br />y-TH V ELLC SSEAI <br />(Middle) <br />-) UJA S S 0 01-1) 4D , <br />No. and Street) <br />/ -) !moli ✓=7 d" k <br />First) (Middle) <br />9t /V, _ <br />(No. and Street) <br />5. Al 1 U W14 CSC.) b L U D <br />Street Address of Property Involved: <br />Last) <br />ROSEo Lj-E <br />Lty ) <br />(State) <br />(Last) (Phone) <br />161 -� e u i fit' , ,.�..j/ 3 <br />((City) (State) (Zip) <br />R ©S E Ll LL E- M V S—S I ;_3 <br />6. Complete Legal Description of Property Involved: <br />NO R'T to r r.H E; <br />A, 1�i� _��kNu1��'S �r�3T7c?EIJ Le`rS ,�r, �.�ar�rj•_ - <br />7. <br />9. <br />v L.c�T E <br />QN 1=it,IE, t30� oi=* �'L'-QP > to —1 iitr OOP-itE 0 - Th;C= %Zd5�'1 j 5TER 4:5 tD,: G 3 <br />cui T1tliJ /�J✓fJ t-:-C _ eDV--1V7-ej M1/i//Y� `iu i A- . <br />Date Property Acquired: "uy,= I t3 L <br />Present Use of Property: _ I Proposed Use of Property: <br />Present Zoning of Property: Proposed Zoning of Property:_ <br />f ,[ z ,[ <br />10. What plan or chance makes this request nece.qsarv? `111Z17 .1 f1') <br />11. What is the expected effect of the proposed change? (For example, on <br />property values, health, safety, parking, traffic conditions, etc.) <br />l "Rla e- <br />