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V <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 />$100 <br />Division of Platted Lot <br />$50 <br />Special Use Permit <br />$100 <br />Relocation of Dwelling <br />$50 <br />Vacation of Right -of -Way <br />$100 <br />Variance to Zoning Ordinance <br />$50 <br />Preliminary and Final Plat <br />$100 <br />Minor Variance <br />$25 <br />Please complete form by typing <br />or printin6 <br />in ink. If the spaces provided <br />are insufficient, <br />use additional sheets, keying <br />information <br />to the proper item numbers. <br />.r <br />e <br />2.)�1-3 <br />A drf" 3 s <br />3. _ �- r- <br />Name of <br />4. 1W3 <br />Address <br />5. <br />6. <br />ete legal descript <br />%. _S Md,v 1 <br />of prope y,-Lnvolve <br />:A <br />7. <br />Date Property Acquired:1-9 9 <br />8. <br />Present Use of Property: i 2� <br />Proposed Use of <br />Property: yti(1P� <br />9. <br />Present Zoning of Propert <br />Proposed Zoning of <br />Property: �.. <br />10. <br />t necess <br />What plan Qr change m kes this rZC <br />ry? W <br />Y`1yC,t�v'�� <br />' <br />l l r <br />1 i� <br />o i <br />11. <br />What is the expected effect of the proposed <br />change? or example, <br />on property values, <br />health, safety, parking, traffic conditions, <br />etc.)�i"fJ �. <br />