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r� <br />M <br />r` <br />CITY OF <br />ROSEVILLE <br />2660 Civic Center Drive <br />Roseville, <br />Minnesota <br />Please check item <br />or items for which you are <br />applying: <br />$100 <br />Division of Platted Lot <br />$50 <br />$50 <br />Rezoning <br />—� Special Use <br />Permit $100 <br />_ <br />Relocation of Dwelling <br />Variance to Zoning Ordinance <br />$50 <br />�- Vacation of <br />Right -of -Way $100 <br />P1a t $100 <br />>c Minor Variance <br />$25 <br />Preliminary and Final <br />printing in ink. If the spaces provided are insufficient <br />Please complete form by typing or p g /� <br />use additional sheets, keying information to the proper item numbers. <br />irnu3 3 <br />1. %R1At2d e1Zc.s.4 ___� Mid (Last) �Yrione) <br />Name of Owner. (First) <br />2. 0,025 r-AZR1 "'FO N <br />Address of Owner: (No. an <br />3. <br />Name of Applicant: (First <br />�US1�ii! lG <br />Street) .(City) <br />4. <br />A dress of Applicant: (No. and Street <br />Street Address -of Property lnvolved <br />0 <br />e(Last <br />o� e V l <br />(City) <br />6. <br />involved: � So�F�, i�,o <br />complete legal description of Property rr/�• �� e` /oa �3, <br />(l/f^S'�' �oZ�7'S r2='� 1,.� (��i j�+OR�LS �dbd!✓Isf4+t/ Ofil+� / >! <br />1.1 <br />tate) (Zip) <br />(Phone) <br />tate) (Zip <br />7. Date Property Acquired: ���y 9 <br />�Q 7 <br />8. Present Use of Property:,_ �+`�►U1J6!"'c_ _ <br />Proposed Use of Property: <br />Proposed Zoning of Property: <br />9. Present Zoning of Property: n-I <br />10. What p 1 an or change P <br />e makes this request necessary? 4 0'0 <br />_ <br />11. What is the expected effect of the proposed change? (For example, on property values, <br />health, safety, parking, traffic conditions, etc.) � �4,� AL, <br />Na,�L•aw <br />k K'VY AO 3a 7Lti <br />