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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 -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 />x 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 />1. veer L. a4d fiq" �. 4D <br />N-im-dF, of Owner: (First (Middle) (Last) fPhnnA) <br />2. <br />Address o <br />3. <br />4. <br />X KKILL 1 Tl� "KossVl <br />er:n (Nod. and Street) (City <br />`�' /►l -I <br />Nam of Applicant: (First) (Middle- <br />&&MEkP-1 LL STE T Os� V I u <br />Address of Applicant : No. an Street C1.ty7 <br />Street Address of Property Involve <br />ate) (Zip <br />(0�6-D 15, <br />Last) (Phone) <br />M .s.�i�3 <br />State) (Zip <br />6. Complete <br />legal description <br />of property <br />involved: nce,00 d <br />Ter-v4ca <br />p14j. <br />,4Gl- '%� <br />/acterILy <br />d'6de :;0.90 _p/a� <br />?7/ 3 6 <br />'v4rce/ 070 off' <br />7. Date Property Acquired: psi -6q <br />8. Present Use of Property: -ElDEWPAL, Proposed Use of Property: S141j1� <br />9. Present Zoning of Property: K�SIpENTI Prt- Proposed Zoning of Property: ��{� <br />10. What plan or change makes this request necess« pry? I(�p �� <br />�nlTTrHNrA&- -F SF'� L .scA)G Ex1sT�.IT SPWu— f 5 FOP u1(-r)+OlT <br />Q ThT41 �L1Lcti�I nr -.-etc �1...,. _-- <br />11. What is the expected effect of the proposed change? (For example, on property values, <br />health, safety, parking, traffic conditions, etc.) �oTfxlTrAL, III Ir4 �12G�E J <br />V Lu is DIAL4 �osSl BLE. _0-"hJ 6&. <br />r <br />