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<br />~ I ~IJ <br /> <br />\J <br /> <br />CITY OF ROSEVILLE <br />2660 CIVIC CENTER DRIVE <br />ROSEVILLE, MINNESOTA 55113 <br /> <br />Please check item or items for which you are applying: <br /> <br />POD $750 <br />Rezoning $300 <br />X Special Use Pe:nnit $200 <br />_ Vacation of Right-of-Way $200 <br />_ Preliminary am Final Plat $500 <br /> <br />cœprehensive Plan Amendment $750 <br />- Division of Platted IDt $100 <br />- Relocation of Dw'e1ling $100 <br />- variance to zoning Ordinance $200 <br />- Shoreline PeJ::mit $ 50 <br /> <br />Please canq:>lete form by typing or printing in ink. If the spaces provided are <br />insufficient, use additional sheets, keying information to the proper item rnmibers: <br /> <br />3. <br /> <br />Name of OWner: C , (.First) VI; (Middle) II A L V Æ 1d:.~ 0 'I1~;::: <br />/j/~Ç; /f/IJ# Aj/j;.- J.¡y. /[t1pfiY/hhl£ ta /y/N,,.d"J7//:? <br />Address of OWner: (No. am street) (City) (S te) (Zip) <br />C.J i~ðløt; I 'J,) <br />,6/ J.J1Lf?-t ~J t?2.0f <br />(last) (Fhone <br />NAI. ..5JJ11 <br />(state) (Zip) <br /> <br />vÁJL1ß N~ <br />(Name of Applicant): (First) . (Middle) <br />tì..oG f rJf)/ ¡Sí- /fd~K/I7LL~- <br />(Address of Appl.) : (Nci.: am street) (City) <br /> <br />;3..07.!>- . þ'AlE~.L/IVØ <br />street Address of Property Involved: <br /> <br />1. <br /> <br />2. <br /> <br />4. <br /> <br />5. <br /> <br />6. <br /> <br />Complete legal Description of Property Involved: <br />/(ð,s};' /f"J15~La111?/j/(J¡'1 '~or¡ <br /> <br />7. <br /> <br />Date Property Acquired: <br /> <br />/if,r <br /> <br />8. <br /> <br />Present Use of Property: /lo#E <br />Proposed Use of Property: APT P , <br /> <br />9. Present zoning of Property: Æ-, j -/1 <br />Proposed Zoning of Property: 's~.I'1€ <br /> <br />10. Present Comprehensive Plan Designation: <br />Proposed Comprehensive Plan Designation: <br /> <br />11. What plan or chan;Je makes this request necessa:ry? <br /> <br />¡~~I( .~f!;~-1;!i:~~¿Æ~~~~ ~E5 <br /> <br />12. <br /> <br />~~ the expected effect of the pttp)SErl charge? (For exanple, on prcperty <br />values, health, safety, parking, traffic corrlitions, etc.) <br />