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CITY OF ROSEVILLE <br />2660 Civic Center Drive <br />Roseville, Minnesota <br />Please check item or items for <br />which you are <br />applying: <br />Rezoning <br />$100 <br />Division of Platted Lot50:. <br />Special Use Permit <br />$100 <br />Relocation of Dwelling <br />$50 <br />Vacation of Right -of -Way <br />$100 <br />_ <br />Variance to Zoning Ordinance $50 <br />Preliminary and Final Plat <br />$100 <br />Minor Variance <br />$25 <br />Please complete form by typing <br />or printing in <br />ink. If the spaces provided are <br />insufficient, <br />use additional sheets, keying <br />information to <br />the proper item numbers. <br />1. Chri s <br />ame of Owner: (First <br />e <br />Last <br />_�nZ3 <br />one)'— <br />2. <br />Address: of Owner: (No. and Street) (City) (State) (Zip) <br />3. C11r-',_s Alai Carl saa (61,2) 4843073 <br />Name of Applicant: (First) (Middle) (Last) (Phone) <br />4. 7107 [Sjv L;t 0 � aL;so ��-vc1 <br />Address of Applicant: No. and Street (City) (State) (Zip) <br />5 = �, 551 1 <br />� � 7 � Cal .: ;1 .: i 2i1 v cl ZF � �:� � � �;; ;`r; � �� I _ • :1Y1 <br />Street Address of Property Involved <br />6. Complete legal description of property involved: l,_:-__:a,ttY�i. 1:� i tj <br />f t t _: i J.: . tli 1 £.: t i t_ cast �;63 f-c. <br />fil a.L <br />.,ect L t. 7 bl.« ��� Y� ej <br />7. Date Property Acquired: T, 1 �'?� <br />8. Present Use of Property: V cant Proposed Use of Property: It-1, <br />9. Present Zoning of Property: R-1 Proposed Zoning of Property: P,-1 <br />10. What plan or change makes this request necessary? t �'' j.�.i='- ; '�u�''�'; o_ over 70" <br />11. What is the expected effect of the proposed change? (For example, on property values, <br />health, safety, parking, traffic conditions, etc.) valla: ;" 1''1 cat <br />, <br />,. <br />7 ; <br />1 ) , J .. __ 1 J. J _ [ 1. _ _ i �� .— . �: u <br />r <br />L?V^cl L< <br />