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91 <br />V• <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 />$100 Division of Platted Lot $50 <br />_ Rezoning iof Dwelling $50 <br />_ Special Use Permit $100 Relocation — Ordinance $50 <br />_ Vacation of Right -of -Way $100 — Variance to Zoning $25 <br />_ Preliminary and Final Plat $100 — Minor Variance <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 />Name of Owner: (First) <br />(Middle) <br />Address of Owner: (No. and Street <br />3. �_ <br />Name of Applicant: (First) (Middle) <br />4. c ;• ��U vi <br />Address of Applicant: (No. anreet) <br />5 • <br />Street Addre s of Property nvolved: <br />6. <br />7. Date Property Acquired: q �D ' <br />c' ' osed Use of Property: /P <br />8. Present Use of Property: P P��Prop <br />9. Present Zoning of Property:!l-JLde ]Proposed Zoning of Property: <br />10. What plan or change makes this request nec10 es a y? r) <br />Last) (Phone) <br />�- c ,�. �- . ?'/ram, ,��%? • <S �fi'I <,� <br />(City) (State) (Zip) <br />���i-_1P�.� 1✓j lad /-•_ice <br />(Last) (Phone) <br /><e, � ze, / <br />(,City) (State) (Zip) <br />) R 'S e, '� - " /-A, <br />%,3 <br />Complete Legal Description of Pr <br />ty Involved: <br />0-1 <br />11. What is the expected effect of the proposed change? (For example, on <br />property values, health, safety, parking, traffic conditions, etc.) — <br />,i <br />