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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 Division of Platted Lot $50 <br />Special Use Permit $100 Relocation of Dwelling $50 <br />Vacation of Right -of -Way $100 Variance to Zoning Ordin.,--e $50 <br />Preliminary and Final Plat $100 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 />k�L�tN �33-c�4�4 Cyr) <br />1. Ttt rl Gs <br />Name of Owner: (First) (Middle) (Last) (Phone) <br />2. 2CA5, IN, PASCA 11- PAuL , m S15-113 <br />Address of Owner: (No. and Street) (City) (State) //(zip) (/�,.1p <br />3. <br />Name of Applicant: (First) (Middle) (Last) (Phone) <br />4 . '.9 (o PAS Cps L o5 �", Pry V L ) %iy ,4 a 5l O 3 <br />Address of Applicant: (No. and Street) (City) (State) (Zip) <br />S. -2965 P4 t PASC 4 L. , s7'. P►4 LiL,� W t4 Ste! I I <br />Street Address,of Property Involved <br />6. Complete I <br />Agal description of property volved: <br />7. Date Property Acquired: /445} <br />8. Present Use of Property: domE Proposed Use of Property: 11491n <br />of Property: �� <br />9. Present Zoning P Y� /pES/DEi�IT/�L Proposed Zoning of Property: <br />10. What plan or change makes this request necessary? Ey�,C�4cE ,4M <br />BI <br />re I V e5iV-*G(J L L t0dda,04e --5i3/?765- T W A!7— h< r <br />c To R iv 'sv/9- S -'Al V$6 0 7 VCr rPo <br />eZ r � .�s Il-eAqAs, <br />11. What is the expected effect of the proposed change? (For example, on property values, <br />health, safety, parking, traffic conditions, etc.) 7-11e5eC� X1,0 fit, 6e-7250 <br />t V J9- GtJ,tL L h7 ! 7W 45 15. .5 LM�r41rE <br />/306W T/f� e9si �/ y� 5,G� <br />