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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 _ 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 />1. <br />�OUA'v.F <br />I-%L,F.N <br />AAAilea 7- 90 - � 57/6 <br />Name of Owner: (First) <br />(Middle) <br />(Last) (Phone) <br />2 . <br />9 92 4 Y l)/i9 <br />e 6S11 a <br />Address of Owner: (No. and Street) <br />(City) (State) (Zip) <br />Name of Applicant. (First) <br />(Middle) <br />(Last) (Phone) <br />4 . <br />i%'Z 4 YDIW <br />Address of Applicant. (No. and <br />4-9/YE <br />Street) <br />AS E 111ct� /%//✓w, Z,5jys <br />(City) (State) (Zip) <br />5. <br />/ ?2 Z v-0/14 z,ej�/� <br />Street Address of Property Involved: <br />6. <br />Complete Legal Description of Property Involved: <br />7. Date Property Acquired:�;sl <br />8. Present Use of Property:AE, 100EVT e5� Proposed Use of Property: A6.- 0El./j'evc <br />1�06 ✓E 14siDYE <br />9. Present Zoning of Property: Proposed Zoning of Property: <br />10. What plan or change makes this request necessary? z/,/F ifs/,�aE 7a ,q <br />' - 2h/ .EaCTF.c%5/c�.c/ 7-4 Tl/E W00 <br />E,5T e �f- , .� r. _,,- <br />11. What is the expected effect of the proposed change? (For example, on <br />property values, health, safety, parking, traffic conditions, etc.) <br />77e %5)VeV._ i 6eE Tf/ l/a c�E a.� E '42ehw7z.r eWWT <br />.92 dgwj 8 <br />