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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 rdinance $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,-AluL e- G �,?�� <br />Name of Owners (First) Midd le) (Last) (Phone) <br />2 . C2 060 a ve V,' He MA) s"5�AJ 3 <br />Address of Owner: ( o. and Street) (City) (State) (Zip) <br />3. A.e 0- R._ A A rnJ C.0 - 3C6, <br />Name of Appl cant: (First) (Mi dle) (Last) „(Phone) <br />Address of Applicant. (No. and Street) (City) (State) (Zip) <br />5. A �' <br />Street Address of Proper y �Inolved: <br />6. Complete Legal Description of Property Involved: <br />7. Date Property Acquirgd: 17'I <br />8. Present Use of Property:&LL'rL1 Proposed Use of Property: ' <br />9. Present Zoning of Property:&SLd_' Proposed Zoning of Property: S' , <br />10. What plan or change makes this request necessary? <br />to 9 <br />11. What is the expected effect of the proposed change? (For example, on <br />property values, health, safety, parking, traffic conditions, etc.) <br />13 <br />