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CITY OF ROSEVILLE <br />2660 Civic Center Drive <br />Roseville, Minnesota <br />Please check item or items for which you are applying: <br />Rezoning <br />Special Use Permit $100 Division of Platted Lot <br />Vacation of Right -of -Way $100 Relocation of Dwelling$50 <br />Preliminary and Final Plat $100 Variance to Zoning Ordinance $SO <br />$SO <br />7-11 - Minor Variance <br />Please complete form by t in or $2S <br />use additional sheets YP g Printing in ink. If the s aces <br />keying information to the p provided are insuffici <br />proper item numbers. <br />Name of Owner; ('First) �VL <br />(Middle) (Last) <br />2• 10 6 + (Phone) <br />Address of ' �U� S� <br />Owner: (No. and Street) RDSL Ci/t L /�'.�113 <br />3. S�i'/Y! = ( Y) (State) (Zip) <br />Name or Applicant,: <br />(First) (Middie) <br />4. S {Last) (Phone) <br />Address of Applicant: (No. and Street) . <br />S. -s4mL—' (City) (State) (Zip) <br />Street Address of Property involved <br />6. Complete legal description of property involved: <br />C ff 4 <br />7. Date Property Acquired: Iz/� <br />7 <br />8. Present Use of Property: �.e ,^�Qe�r;a� <br />� Prorosed Use of Property; 2 <br />9. Present Zoning of Property: <br />10. What plan or change makes this re u Proposed Zoning of Property; <br />est necessary? <br />a r. e to e <br />kl ' W nik'Ai H <br />NIA t <br />lI. What is the expected effect <br />healthof the proposed <br />, fety� parking, traffic conditions, change • (For example <br />cv-e asp etc. on Property values. <br />