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F11 <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 i/ 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 ded <br />are insufficient, use additional sheets, keying information to the <br />item numbers: proper <br />1. IVORM,91V �_. 6Nb cTG/F N V. /91-6RjCM-T--- <br />Name of OwnerFirst) <br />(Middle) (Last) (Phone) <br />2 . 3069 W, d wB <br />4sso LV v. 60SC-0a RIAIN 55//3 <br />Address of Owner -#I (No. and --St eet) (City) (State) (Zip) <br />3. / tlep Ai, /�N.D r / Hom Psolv <br />Name of as (First) (Middle) <br />305 - �vner �'z ( Last) _(Phone) <br />4 . Vlr, 01A1i15s0 BLV't,. A0.5sVI "Ei41/k/v, Address of (No. and Street) (Cit ) <br />caner W7 Y ( State) (zip) <br />5. <br />Street address of Property Involved: <br />6. Complete Legal Description of Property Involved: <br />,Eso R LTY C'v's, Q4c.ASs© 5'w� V4 op L r 8 n/d ai= La 19L ack <br />SOUrNERS r�e[+1 AF2r�i DP P �`�" 02-2P 23 -/2 —Od 6 S Ary <br />r�ivt ra Retry Cbs c'�w,gssc LoT '7Ncler�e�sa-y % or~ LcT <br />6/1gf43 '/ <br />7. Date Propert : Acquirgd : nccmF%5ON /-4 r '7l' fZ 3�b5" <br />V,4c,9NT � <br />8. Present Use of Property: 1-0Property: GUILPi v�iosed Use of "-r <br />9. Present Zoning of Property: Proposed Zoninq of Property: <br />5/NSLC- FN.M1Ly ��v'E�/N�'y "'ME <br />10. What plan or change makes this request necessary? <br />_ ��r' WAs SPur B�iVVEC.Y t94.9AECMr ANC TNeMA� <br />4t/E W13N 7a 0EASSEM6[e <br />//7� wH&Puc-y�A 5UI HSplM 1-�9-sr, D1/YC 407' SOLIWI'rH CORMIN CHAycES //y OWN CN <br />"ICCarwpNNYiNG <br />11. What is the expected effect of the proposed change? (For example, on <br />property values, health, safety, parking, <br />traffic conditions, etc,) <br />E �/ Alavie ON ES'774eL1 NE/�/fBDRf/GbD fit= S/�Y64C- F.'�NIILY /fGtti1 <br />d Lo-r c:vRRE,vrLy t!�4C,4rvr- �}na jj/V/DES, <br />B�Tv✓e�Y rwo UWNMs' <br />