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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 $100 <br />Special Use Permit $100 <br />Vacation of Right -of -Way $100 <br />Preliminary and Final Plat $100 <br />Division of Platted Lot $50 <br />Relocation of Dwelling $S0 <br />Variance to Zoning Ordinance $50 <br />Minor Variance $25 <br />Please complete form by typing or printing in ink. If the spaces provided are insufficient, <br />use additional sheets, keying information to the proper item numbers. <br />1. L <br />Name of 0 <br />2. 5�o B o <br />Address o <br />3. <br />Name of Ai <br />�r: (First <br />/- -j'- <br />ner: <br />elea, <br />cant : <br />-574Ye,e -,e :Z S r <br />(No. and Street) <br />irst) <br />4. .3e30 /V- r 'c<rl ' - <br />Address of Applicant: (No. and Street <br />5. <br />Street Address•of Property Involve <br />e <br />le <br />(City) <br />6. Complete legal description of property involved: <br />U14 <br />(Last) <br />-C <br />Mate <br />(Last) <br />(City) (State <br />ep�`�/� <br />�(-Pholne ) <br />(Zip) <br />(Phone) <br />15-5-110 <br />(Zip) <br />-10 <br />., <br />7. Date Property Acquired: <br />8. Present Use of Property: /���;,p,v,Z,Proposed Use of Property: <br />9. Present Zoning of Property: /c'""S Proposed Zoning of Property: <br />10. What plan or change makes this request necessary? <br />�.0 p .� <U !.0 � 5'�.��s�" „ �"9 c}.C.� , r-i�.t�.•� G4.c� /".Cv.v y., �,�' �i��'i�'� � <br />�cr� � C�eL►.t '�/ .�9.[ T„�'-.f�ic.� f'r7 TIG�i� �'`/,!�'9'` /�✓�,�E' ,!�'c�a►,dm�-a ice, <br />11. What is the expected effect of the proposed change? (For example, on <br />health safet P property values, <br />y, parking, traffic conditions, etc.) <br />