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M <br />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 $I00 Division of Platted Lot > <br />Vacation of Right -of -Way $100 Relocation of Dwelling <br />Variance to Zoning <br />Preliminary and Final Plat Ordinance $SO <br />$100 Minor Variance g $50 <br />Please complete form b $25 <br />Y typing or printing in ink. If the spaces provided are insufficient <br />use additional sheets, keying information to the proper item numbers. <br />1. <br />Name of Owner: F -� <br />(First) (Middle) <br />2. n e—) (Last) (Phone) <br />3. <br />4. <br />S. <br />6. <br />ress of Owner, (No, and Street <br />ame of Applicant: (First) <br />idrsAppso� Applicant (N�o, <br />an <br />treet Addr-- e' s o <br />ete legal desc <br />treet <br />roperty Involved <br />r'jgtion of prope <br />A <br />(City) (State) (Lip) <br />fiddle) <br />{Last) (Phone) <br />t l <br />City) (State) <br />(Zip) <br />I l- -�OL_v 1 "') <br />nv lved: �A- <br />©C <br />J <br />7. Date Property Acquired: <br />—11L L ------------ <br />.8. Present Use of Property: <br />' Proposed Use of Property: <br />9. Present Zoning of Property: Y <br />Proposed Zoning of Property:2--1-- <br />10. W,,h��a��t�� plan/Q r charprZe makes this request necessary? di U t a 9 rn c , -� � -� .� . <br />11. What is the expected effect of the proposed change? (For exam <br />health, safety, parking, traffic conditions etc,)(%example, on property values, <br />