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N <br />• <br />e <br />• <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 />Special Use Permit <br />$100 <br />$100 <br />Division of Platted Lot <br />Vacation of Right -of -Way <br />$100 <br />Relocation of Dwelling <br />$50 <br />Preliminary and Final Plat <br />—"-"` <br />$100 <br />Variance to Zoning Ordinance <br />� Minor Variance <br />$50 <br />$25 <br />Please complete form by typing or printing in ink. If the spaces use additional sheets, keying information to the proper item numbers. <br />are insufficient, <br />K <br />Name of O <br />2 • /Y/ <br />Address o: <br />3. <br />Name of Ar <br />r: L irst <br />Jf5 E��ioyT- ,LA -it/ � <br />er: (No. and Street) <br />cant: (First <br />4. A/ / 9 A) &C o, r I-�- <br />Address of Applicant: (No. an Stree <br />Street Address of Property Involved <br />a-.S L i5S4g/t/ <br />le) (Last) <br />�S�d�L..�.� � Imo✓ <br />(City) (State <br />FS <br />(Middle) <br />REV/ L� <br />(Cit)T) <br />l9--A)6 <br />65-EIL) <br />Last) <br />at e <br />6. Complete legal description of property involved: ,C 0 7- <br />44-0 MC ✓i LoG� <br />3-JF�3F <br />(Phone) <br />(Zip) <br />3JK,2,0 <br />(Phone) <br />1-3 <br />(Zip) <br />7. Date Property Acquired: Ake, Z Y 19g� <br />8. Present Use of Property: �Proposed Use of Property: <br />9. Present Zoning of Property: Sisl 4-,e- . Proposed Zoning of Property: <br />10. What plan or change makes this request necessary? <br />_zln_j a C7 <br />T E>-7-Elc" 0FFST�2E�T <br />11. What is the expected effect of the proposed change? <br />health, safety, g (For example, on property values, <br />, parking, traffic conditions, etc.) a� <br />�F�-- <br />