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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 <br />$100 <br />Division of Platted Lot $50 <br />Special Use Permit <br />$100 <br />_ <br />Relocation of Dwelling <br />$50 <br />Vacation of Right -of -Way <br />$100 <br />_ <br />Variance to Zoning Ordinance $50 <br />Preliminary and Final Plat $100 <br />X Minor Variance <br />$25 <br />Please complete form by typing <br />or printing in ink. If the spaces provided <br />are insufficient, <br />use additional sheets, keying information to the proper item numbers. <br />1. Ma • * k4n5. WIC(1,4L4 <br />L <br />&4Im.rZ <br />4�4- <br />Name of Owner: (First) <br />(Middle) (Last) <br />(Phone) <br />2. � �4 OAKCZ65-7 <br />f'osCViL(IS, mI, . <br />9s113 <br />_ <br />Address of Owner: (No. and <br />Street) <br />(City) (State) <br />(Zipl <br />3. ' /AM6 A5 W4. <br />Name of Applicant: (First) (Middle) (Last) (Phone) <br />4. �AIA19 A 5 00.2- <br />Address of Applicant: (No. and Street) (City) (State) (Zip) <br />5. �AW& AS 06. '� f `t' <br />6. <br />Street Address -of Property Involved <br />ete legal des <br />00010. P <br />FLnc Ic Q <br />7. Date Property Acquired: M11 <br />8. Present Use of Property: (411 b94TIAL- Proposed Use of Property: 1?(F91V6AJTt AL <br />9. Present Zoning of Property: KA!5105NT1AL- Proposed Zoning of Property: f2—w EjaTIAL,. <br />10. What plan ordoanAg <br />he makes this request necessary? <br />?Ary iUr 4. DECK W o Mein) 191. <br />IC-S 'i o <br />09 ., c <br />AALLovi D#aP"fA aIr Lb i . WINovL WrIl Ada(A 15 N KK-k!9x0. - -- — <br />11. What is the expected effect of the proposed <br />change? <br />(For <br />example, on property values, <br />health, safety, parking, traffic conditions, <br />etc.) <br />kLu1r <br />C)6 fZgSj0(g7nleV <br />INcae'&SS('_ Na AjoULc(lsC 15jZ:[ <br />00 w41cmNeor2. <br />. <br />