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<br />Please cc::m'plete fonn by typin:;J or printin:;J in ink. If the spaces provided are <br />insufficient, use additional sheets, keyin:;J infonnation to the proper item numbers: <br />J 6P~p4 uJ~,^-c£ <br />Name of OWner: - (F'irst) (Middle) <br />3S/,b G a A ¿ e/1 ð /I/d C7¿Jrclale <br />Address of OWner: (No. and street) (City) <br />Jose/'J W¿¡Þ-d <br />(Name of Applicant): (First) (Middle) <br />YS'?6 e /v£ ¡, <br />(Address of Appl.): (No. and street) City) <br />"Á.'1lfrlf/c p 51; e e~ <br />street Address o~ Involved: ! <br /> <br />~~~ Involved: ,Lr ~ / } <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 applyin:;J: <br /> <br />POD $750 <br />- Rezonin:;J $300 <br />2- Special Use Pennit $200 <br />_ Vacation of Right-of-Way $200 <br />_ Preliminary and Final Plat $500 <br /> <br />Cœ'prehensive Plan Ame.rrlrnent <br />- Division of Platted IDt <br />== Relocation of D.vellin:;J <br />_ Variance to zoning Ordinance <br />Shoreline Pennit <br /> <br />1. <br /> <br />'-;' P) 7õ,? <br />(last) <br /> <br />2. <br /> <br />ø~ <br />(state) <br />L/I?~ <br />(last) <br /> <br />3. <br /> <br />4. <br /> <br /> <br />5. <br /> <br />$750 <br />$100 <br />$100 <br />$200 <br />$ 50 <br /> <br />770--/ý20 )ld/J~ <br />(Phone) <br />r5/~~ <br />(Zip) <br />'I8J~t¡(¡I¡S £.Lh1A-,f <br />(Phone) <br /> <br />5"5/ ¿~ <br />(Zip) <br /> <br />6. <br /> <br />7. <br /> <br />rate Prq>erty 1\cqUired: ~¿J;; 8' 3 ~._L ...--" <br />,,~~(..__~¥ ~c¡/V~~ <br />Present Use of Property: - 7' 9. Present Zoru..rg of Property: 1?3 <br />Proposed Use of Prq>erty: .~ _ Proposed Zonin:;J of Property: 8] <br /> <br />8. <br /> <br />10. <br /> <br />Present Colrprehensive Plan Designation: <br />Proposed Colrprehensive Plan Designation: <br /> <br />k;~ <br /> <br />11. <br /> <br />~~~~~IOakeS this request necessary? <br /> <br />-"'-- <br /> <br />12. What is the expected effect of the proposed change? (For example, on property <br />values, heaJþh, safety,.~~, traffic 5Prrli~.1. etc.) <br />ÅQ.J? ~'" ðor ~ f2~ <br />