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le <br />N 0 0 <br />CITY OF R.OSEVILLE <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 $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 />2. <br />3. <br />4. <br />5. <br />Address of Applicant: (No. and Street) (City (State) (Zip) <br />treet Address of Property Involved <br />6. Complete legal description of property involved: <br />7. Date Property Acquired: <br />0 <br />8. Present Use of Property: ,4-0 r- Proposed Use of Property: ,�Cxyc'rium <br />9. Present Zoning of Property: <br />— Proposed Zoning of Property: �R� <br />10. What plan or change makes this request necessary? <br />11. What is the expected effect of the proposed change? (For example, on property values, <br />health, safety, parking, traffic conditions, etc.) <br />