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r <br />' <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 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 ty �� <br />Please complete form by typing or printing in ink. If the spaces rovided <br />are insufficient, use additional sheets, keying information to theP <br />item numbers: proper <br />1. <br />lipme of Owner: (First) (Middle) Last) <br />(Phone) <br />2. <br />951 West <br />County Road C-2, Roseville, MN 55113 <br />Address <br />of Owner: (No. and Street) (City) <br />('State) (Zip) <br />3. <br />Same as <br />"Owner" above. <br />Name of <br />Applicant: (First) (Middle) <br />(Last) (Phone). <br />4• <br />SamP as <br />"�wnar" ahnvn <br />Address <br />of Applicant: (No. and Street) (City) <br />(State) (Zip) <br />5• <br />951 West <br />County-_ Road St <br />Paul MN 5511 <br />Street Address of Property Involved: <br />6. <br />Complete <br />Legal Description of Property Involved: <br />xreot thP <br />t, the East IPI of in+ ir, <br />7. Date Property Acquired: of 1 /67 <br />8. Present Use of Property: Home teal Proposed Use of Proper P Y:Homestead <br />9. Present Zoning of Property: pes _ I)Proposed Zoning p .n of Property: Y: Res. <br />10. What plan or change makes this request necessary? <br />Hni. <br />11. what is the expected effect of the proposed change? <br />property values, health, safety, parkin (For example, on <br />None 9, traffic <br />conditions, etc.) <br />r <br />