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CITY OF RI,SEVILLE <br />2660 Civic Center Drive <br />Roseville, Minnesota 55113 <br />Please check item or items for which you are applying: <br />_ Rezoning $100 y, Division of Platted Lot <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 ' <br />— $25 <br />Please complete form by typing or printing in ink. If the spaces ded <br />are insufficient, use additional sheets, keying information to the <br />item numbers: proper <br />Name of Owner (First) (Middle) (Last) <br />(Phone) <br />2. /l ( <�i <br />Address of Owner: C �� fir.F_V i <br />}- (No. and Street) (City) (State) (Zip) <br />3. lckyi1114F Z 1-:1 <br />Name of Applicant: (First) (mid e) (Last) � <br />_(Phone) <br />Address of Applicant: �, <br />(No. and Street) (city) (State) (Zip) <br />5. <br />Street Address of Property <br />P y Invol ea- <br />6. Complete Legal Description of Pro ertTHORNTON#S SUBDIVISION OF <br />THE NORTHEAST QUARTER <br />(NE 1/4) OF SECTION 13, <br />TOWN 29P RANGE 23 <br />EX N 259 FT AND EX S 280 FT <br />7. Date Property Acquired: ���. < THE E 124 47/100 FT OF <br />8. Present Use of Property: ��_ Proposed Use o�pr <br />o.p.t�r •.`- <br />9. Present Zoning of Property•fi��- Proposed Zoning of Property: <br />10, What pla or change makes t is ,request necessary? <br />��.5 ® yi <br />11. What is the expected effect of the proposed change? <br />property values, health, safety, parkin (For example, on <br />9, traffic <br />conditions, etc.) <br />