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A C 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: 1. (-; e ir..d P- g L_ . Name of Owner: 2. 14-35i"!LL/ Address of Owner: 3. AWr HLl 0- 14. 1 Name of Applicant: 4. 413o Address o Street Ad M. 7. 8. 9. 10. (First) (Middle ^W AV EF rut.., . S T, (No. and Street) I c lac. c Y (First) /ave" Se cant: (No. a Z?A- 2.5tt i (Last) (Phone) F UL- MN 5511`3 (city' (State) (Zip) �24 ,Middle) (Last) „(Phone) fD$44, MN GS44o Street) (city) (State) (Zip) /05't` P4jt tit L fir ress of Property Invol : Complete Legal Description of Property Involved: ,�; ,f�r,�,r�=a�� L.= 3 �"! ire` .r. r a. • ^ ►�.u. rR +. �. �� A A ..L as 7 — , •h&rt, of Gapernment Lot 3, Section 3, TAR !=23i dw=lbed atn1vte�a Wincing onthe fist and i�t 1/4 n►e, 438 feet: to 4f otter of said eectionj dxnm Nok-U rly and PLM11e1 With thre Wrth " 8 1,/4 won line, 1641•.5 feet to point of beginningi thence Swth 54 degraw 16, East 62.76 feet; thenoe North 15 degrees 24' East 270 feet more or lei* to e k i the afire lire of We amine; thence North eaWly along shorelfre .163 feet more or less to a point. 438 feet But of the North and South 1/4 section line; NE dwm Sutherly 325 feet more or bm to point of beginning= except efattcip aC iand alang the eouths= out Line thereof to Mn for vaeephI Boad, � '-+c.+4-.. 11, What is the expected eif*-ct of the proposed change? (For example, on property values, health, :safety, parking, traffic conditions, etc.)