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S- t CITY OF ROSEVILLE 2660 Civic Center Drive Roseville, Minnesota 55113 Please check item or items for which you are applying: _ Rezoning $100 Division of Platted Lot $50 Special Use Permit $100 _ Relocation of Dwelling $50 _ Vacation of Right -of -Way $100 Variance to Zoning Ordinance $50 Preliminary and Final Plat $100 Minor Variance $25 Please complete form -by typing or printing in ink. If the spaces provided are insufficient, use additional sheets, keying information to the proper item numbers: Name of Owner: (First) (Middle) (Last) (Phone) 0 MN Address of Owner: (No. and Street) (City (State) (Zip) 3. P-7-igLi e N, D (C t-sy 924 3 Name of Applicant: (First) (Middle) (Last) 4. 5. 6. 7. 8. 9. 10. -3o F r2.41 sn w cs Avs - SO, N 5 S744 Q - - Address of Applicant: (No. and Street) (City) (State) (Zip) Street Address of Property Involved: Complete Legal Descriptiony of Property Involved: 6j0vt=e,'A -«T L513. r nl t Sr IPar't of Government- L®t 3, Section 3, ship 29, Range(.23 described as follows:" p " `Ca mencing o n`. the Fist and West 1/4 suction' i-1 ] aee t, %' 438 feet;' Edstr" center of said section; thence NoKtherly and paral"id' with the North'�c�d'=Sotafih 1/4 section line, 1641.5 feet to point of beginningy'thence South 54.degrees,i 161 East -62.76 feet; thence North 15 degrees' 24' East 170' .feet more, or hesi� to 0 N i the shore line of ' Iake Josephine; thence Northwestesly,along shoreline.,163 feet�_E more * or less to a paint: 438 feet Fast of the North and South 1/4 section line= ,thence Southerly 32S fek more or less to. point of beginniNf except ,a fstrip-.orl land along the southern most line �theareof, taken fp�r Josephine -. cowt•,y: - "isp , tf •tf i �. i . )may :tr { I ' K�4/ iv t —1— • v 11. What is the expected effect of the proposed change? (For example, on property values, health, safety, parking, traffic conditions, etc.)