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r + <br />e; <br />1 <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 />� S1dd�d� �I� D�'V�LdF1m�N3 �i�'InRdY'�� <br />_ Rezoning $100 _ Division of Platted Lot $50 <br />Special Use Permit $100 Relocation of Dwelling $50 <br />Vacation of Right -of -Way $100 Variance to Zoning Ordinance $50 <br />Preliminary and Final Plat $100 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 />VIER IVO Al kV, AE-,-ov&�zy 4,�V- #724""' <br />Name of Owner: (First) (Middle) (Last) (Phone) <br />2' f ) kjclly -L dam. YV/V S5113 <br />Address of Owner: (No. and Street) (City) (State) (Zip) <br />3. 6, VV IV i-e <br />Name of Applicant_: (-First) (middle ) (Last) -(Phone) <br />4. <br />Address of Applicant: (No. and Street) (City) (State) (Zip) <br />5. .5-I f` I %J/lJCL C "S' �e L.CJ[= c'S c� �✓'� <br />Street Address of Property Involved-. <br />6. Complete Legal Description of Property Involved: <br />7. Date Property Acquired: NO V' . TZ) <br />8. Present Use of Property: Proposed Use of Property: <br />9. Present Zoning of Property:r= g Pert Proposed Zoning of Pro � <br />y: b_ <br />10. <br />What plan or change makes this request necess <br />11. What is the expected effect of the proposed change? (For example, on <br />property values, health, safety, parking, traffic conditions etc.) <br />1�1,jpp0 VC-Mr-,Vr JN V9�u Q' d'9��G.tii 1�� Ue'5" 'j�,2' Zc I <br />CEFrL:::C.% 6TNLtdn2(367 <br />