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I. <br />CITY OF ROSEVILLE <br />2660 Civic Center Drive <br />Roseville, Minnesota <br />Please check item or items for <br />which you are applying: <br />Rezoning <br />� Use Permit <br />$100 _ Division of Platted Lot <br />$100 <br />$50 <br />,Special <br />Vacation of Right -of -Way <br />Preliminary and Final Plat <br />$100 ..------- Relocation of Dwelling $50 <br />X Variance to Zoning Ordinance $SO <br />.__ � <br />$100 Minor Variance <br />$ 2 S <br />Please complete form by typing or printing in ink. If the spaces provided are insufficier <br />use additional sheets, keying information to <br />the proper item numbers. <br />Name of Owner: lrst <br />Middle) (Last) <br />�i <br />,' <br />(Phone) <br />2, _alo �\pAe_ <br />Address of Owner: (No, and <br />Street ) .(City) (State) <br />f �3 <br />(Zip) <br />3. Name of Applicant: ( first <br />` <br />(Puddle) {Last) <br />(Phone) <br />4. <br />Address of Applicant: (No, 4dS_t,,et) (City) (State) <br />Zi <br />( P) <br />S. <br />Street Address -of Property Involved <br />6, Complete legal description of property involved: <br />7, Date Property Acquired: <br />8. Present Use of Property: ��o�\ ,,��c Proposed Use of Property: <br />9. Present Zoning of Property, ' <br />�... Proposed Zoning of Property; <br />10. What` plan,, or change makes this request necessary? `` 1 <br />_ \ w. � 1!_4� �D van e. A. a \ v� ��. •� _ J. _ _ ►\ _ i --'��- <br />11. What is the expected effect of the proposed change? (For example, on property values; <br />health, safety, parking, traffic conditions, etc.) <br />