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4 <br />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 />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 />13. A -,4 , � o , t --; - , z <br />Name of Owner: (First) Middle Last (Phone) <br />Address of Owner: <br />3 . .5 tj ,24 F_ A S <br />Name of Applicant: <br />4. <br />7No. and Street) <br />5 dd -I-: <br />ress of Applicant: No. and Stree <br />5 . S -9_ �f S /Y .A d ✓ -F- <br />Street Address of Property Involve <br />e <br />.ity) (State <br />ty <br />t <br />tate <br />6. Complete legal description <br />de cr pt oon of props y involved: O,�S,� �} p /�,jj/J L A/,01V W <br />7. Date Property Acquired: /%La <br />8. Present Use of Property: 1jks ,`d n -; Proposed Use of Property: - <br />9. Present Zoning of Property: n gs.,-W g , llii Z Proposed Zoning of Property: <br />10. What plan or change makes this request necessary? C�p� fi�u ��� �.� G I,-; <br />L/4/r'F'E.7 ± r-- fyp20tj d � )1dE e ,, s o <br />_ . a- -- - --� ---_.. — <br />W <br />U <br />11. What is the expected effect of the proposed change? (For example, on property valu--s, <br />health, safety, parking, traffic conditions, etc.) <br />I d . 04 p/A <br />