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{may } <br />- - <br />Case No.: <br />CITY OF <br />ROSEVILLE <br />2660 Civic <br />Center Drive <br />Please check item or items for <br />which you are applying: <br />Rezoning <br />$100 <br />Division <br />of Platted Lot $ 50 <br />Special. Use Permit <br />$100 <br />Relocation of Dwelling $ 50 <br />Vacation of right-of-way <br />$100 <br />Variance <br />to zoning ordinance $ 50 <br />Prel2inJx-iry & Final Plat $100 Minor Variance $ 25 <br />Please ccrrplete 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. t-aO)VA <br />Name of Owner: Fist (Middle) Last (Phone) <br />2. 4001Vry,�o,�t� B. y0iT9 N //0, lW5 MiH1v. 55'1t, <br />Address of Owner: No. and Street (City) S� Zip <br />3. �E o N�► fL� ; w �/����5� <br />Name of ,Applicant: (First) (middle) Last Phone <br />4. --dw !�Mo <br />Address of Applicant: No. and Street (City) State Zip <br />5. //I/i A�fr GoUNry ,28,ckv e . <br />Street Address of Property Involved -- <br />6. Carplete legal description of property involved: L.-Or 3 Qt�OG� �, 12D5 lNOd�7IjIU14&9 <br />7. Date Property Acquired: jl4t • 2.q / ` f / . <br />8. Present Use of Property: Or-rk&c Proposed Use of Property: 0t-Fll6 <br />9. Present Zoning of Property: 1 Pr <br />aposad Zoning of Property, <br />10. gnat plan or change makes this request necessary? ''rJ' Pe&JAL 056 %12 Arr IV <br />ALLOW e0518 55 (-0U e6S --•- <br />11. What is the expected effect of the proposed change? <br />health, safety, parking, traffic conditions, etc.) <br />IN&- ff4utFEMCW51 77+6 60 -Lr-f' Nlu.'1-Qul <br />(For erarple, on property values.. <br />P*50AK 7D R50V I LES UPI N& .- <br />oh <br />�I,5 5pyl6uy�y A4A1P9,AU,411,AC0('1rc-14N 5 of 7H/5 yPjkj� . <br />atIV 1"G 60N121r/opi GUlGL tj �, /MPfLDd�,�AA/0 7hi0 /VpifiaN <br />o /W R6*19,05V $v�INEfS Gq. •r• b� t; f�, �� r?y eptlr 4vo/v*L- <br />P /01 /41f*e1W13 mg, &I Ty er <br />r <br />