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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-Wp- $100 <br />Preliminary and Final Plat $100 <br />Division of Platted Lot $50 <br />Relocation of Dwelling $50 <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, use additional sheets, keying information to the proper item numbers. <br />1. <br />Name of —owner.- <br />2. S11150 <br />Address of <br />3. <br />4. <br />5. <br />�P�lt'D <br />rst <br />FLA"GeTy <br />e) (Last <br />-11H PtmemuE a NAjo <br />ter: (No. and Streetl rr. <br />ty <br />Bvi - v54 0 <br />(State) (Zip <br />Vi 50 AU rM M Iu P .b� <br />Address of Applicant: No. and Street City (State) Zi <br />( P) <br />treet Address of Property Involve <br />6. Complete legal description of property involved: <br />7. Date Property Acquired: MA%, A <br />DA <br />8. Present Use of Property: (,a Gt� AKE�GIAL <br />1�_i_�,�1�llf,� S"jpr(1(�Proposed Use of Property: <br />9. Present Zoning of Property: — "2-1j � proposed Zoning of Property: <br />10. What plan or change makes this request necessary? APFL[e-amf�►nCW-0-' li_ <br />w_- ,. . --- - - <br />11. What is the expected effect of the proposed change? (For example, on property values, <br />health, safety, parking, traffic conditions, etc.) Mo <br />