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f <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 <br />$100 <br />Division of Platted Lot <br />$50 <br />Special Use <br />Permit <br />$100 <br />Relocation of Dwelling <br />$50 <br />Vacation of <br />Right -of -Way <br />$100 <br />Variance to Zoning Ordinance $50 <br />Preliminary <br />and Final Plat <br />$100 <br />Minor Variance <br />$25 <br />Please complete form by typing or <br />printing in <br />ink. If the spaces provided <br />are insufficient, <br />use additional sheets, keying information to <br />the proper item numbers. <br />1. <br />-7f <br />Name of Owner: <br />(First) <br />(Middle) (Last) <br />(Phone) <br />2 . 2 9 93 <br />�-1 t L. 09-E r) <br />bi?. <br />postk) ! L.Le <br />117 <br />3. <br />�-->& M <br />Name of Applicant: (First) <br />(Middle) (Last) <br />(Phone) <br />4 . <br />arc <br />Address of Applicant: (No. and Street) <br />(City) (State) (Zip) <br />S. <br />�-cl$ �"'�1LDy2�=-L1 l)►2�1,�' <br />fLg ilt� <br />'SSI Ioti <br />Street Address of Property Involved <br />6. <br />Complete legal description of property <br />involved: <br />V0 S <br />®EFV— C,0-0 <br />_ <br />7. <br />Date Property Acquired: <br />8. <br />Present Use of Property: Stk.-'Pi jC FAMf <br />"T Proposed Use of <br />Property: SIVAE <br />9. <br />Present Zoning of Property: 2 e k <br />Proposed Zoning of <br />Property: 5 <br />10. <br />What plan, or change makes this request <br />necessary? WC)gL, 1 <br />W4E --T-0 G <br />,#, U)N&( AuC_ Fwm Lae- StAO-ZL Oeh1.MAK-te- <br />Al A <br />'* SCAN a FLAU) it- Ar-),b l R 0 P 1 D <br />MA-4 . t x l% 11 n--V� <br />A k) o A T*V-P 1Cr_ <br />Wt' Z N f;t oca it RkC.t p _ o .4g I <br />11. What is the expected effect of the proposed change? (For exAmple, on property values, T <br />health, safety, parking, traffic conditions, etc.) 1 -OC9Ctr V A"t C-- i �,,,_ JaE <br />L_ it i iric Ik N-F .b i r,-1 cox j b j z- i n 1- '-s W i L.C-'- ' [6F- � lir nT►� (wt_ni2r„ a <br />