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• <br />CITY OF ROSEVILLE <br />2660 Civic Center Drive <br />Roseville, Minnesota <br />• <br />Please check item or items for <br />which you are <br />applying: <br />$100 <br />Division of Platted Lot <br />$50 <br />$50 <br />_ Rezoning <br />$100 <br />Relocation of Dwelling <br />_ Special Use Permit <br />Vacation of Right -of -Way <br />$100 <br />A Variance to Zoning Ordinance $55 <br />Preliminary and Final Plat $100 <br />Minor Variance <br />( <br />Please complete form by typing <br />or printing in ink. If t e sitem nces provided are <br />insufficient, <br />use additional sheets, keying <br />information to <br />the proper <br />1. <br />2. <br />3. <br />4. <br />5. <br />er: (First <br />e <br />one <br />� <br />Middle) (Last) (Phone) <br />Name of AP . plicant : (First) ( <br />reet Address' o <br />erfY Involve <br />6. CoiVlete')Agal description <br />property involved: Fr��)r.� r <br />, n i lc, *? <br />7. Date Property Acquired: 1 76 <br />8. Present Use of Property: �{��, � nP � �`- � <br />Proposed Use of Property: <br />9��Proposed Zoning of Property: e j� <br />. Present Zoning of Property: <br />10. What plan or change makes t his request necessary? <br />WWA <br />11. What is the expected effect of the proposed change? <br />health, safety, parking, traffic conditions, etc.) <br />- . ^ 1 _ _ _ _-.-_ <br />(For example, on prope <br />