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CITY OF <br />ROSEVILLE <br />2660 <br />Civic <br />Center Drive <br />Roseville, Minnesota 55113 <br />Please check item or items for <br />which <br />you are applying: <br />_ Rezoning <br />$100 <br />_ Division of Platted Lot <br />$50 <br />Special Use <br />Permit <br />$100 <br />Relocation of Dwelling <br />$50 <br />— Vacation of <br />Right -of -Way <br />$100 <br />- Variance to Zoning Ordinance <br />$50 <br />Preliminary <br />and Final Plat <br />$100 <br />_ Minor Variance <br />$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. <br />2. <br />Name or owner: <br />Rir,�wrJ Fear( <br />(First) <br />S11:2-:) N. FA <br />ess of Owner: (No. an <br />( Milddle <br />VlEw pmv 11 <br />Street) (City <br />b(o 41 <br />(Last) (Phone <br />Vti 113 <br />(State) (Zip <br />Name of Applicant: (First) (Middle) (Last) (Phone) <br />4 . �G1✓1M� <br />Address of Applicant: (No. and Street) (City) (State) (Zip) <br />Street Address of Property Involved: <br />6. Co e e Legal Des iption of Property Involved: 11.2 �� <br />of LA --A-, LAka Of,' ��.S <br />7. Date Property Acquired: U +_ <br />8. Present Use of Property: roposed Use of Property: <br />9. Present Zoning of Property: ?--x!) Proposed Zoning of Property: <br />10. What plan or chancae makes this regi4est aecessarv? (I C) (-7MA0 . <br />11. What is the expected effect of the proposed change? (For example, on <br />pr'orperty �alu�gs^, health,�safety,(, pIrking, tratfic conditions,,,etc. ) <br />