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<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 />Please CClTplete fonn by typin;J or pr:inti.rg in ink. If the spaces provided are <br />insufficient, use additional-Rhæts. ' keyin;J ~OJ;1lBQ.on to the p~ item numbers: <br />:bh. I'\. m \ (. \t'<LJ{ Fo)(. <br />1. :ttH\ t0L . Lee d-ð.\:xJ- <br />Nane of OWner: (First) (Middle) (last) (Phone) <br />dSL\ to.. M d.ar(OY\.- f\œeu\ \te. t'Y\r0 <br />Address of OWner: . (No. am street) (City) (state) <br />S~ <br />(Nane of Applicant): (First) <br />~ <br />(Address of Appl.) : (No. am street) <br />~S-4. '(0 \ Mc Co fro~ <br />street Address of Property Involved: <br />D¡xIplete I.e<.¡al I¥=rlpticn of Property Involved: ,~+- ('¡o1J ~ <br />DY\~ <br /> <br />RID <br />Rez~ <br />== Special Use Pe:nnit <br />Vacation of Right-of-way <br />- PreliIni.nary am Final Plat <br /> <br />$750 <br />$300 "' <br />$200 <br />$200 <br />$500 <br /> <br />2. <br /> <br />3. <br /> <br />4. <br /> <br />5. <br /> <br />6. <br /> <br />_ Carprehensive Plan .Arœrx3ment <br />Division of Platted Lot <br />- Relocation of DiJelli.rg <br />== Variance to. zonirg Ordinance <br />..L Shoreline Pe:nnit <br /> <br />JJ~~ <br />"q b <br />qAO <br /> <br />$750 <br />$100 <br />$100 <br />$200 <br />$ 50 <br /> <br />(Middle) <br /> <br />(last) <br /> <br />SS/l3 <br />(Zip) <br /> <br />(Phone) <br /> <br />(Zip) <br /> <br />(City) <br /> <br />(state) <br /> <br />7. <br /> <br />Date Property Acquired: <br /> <br />8. <br /> <br />Present· Use of Property: <br />Proposed Use of Property: <br /> <br />q \ ~l <br />~\ <br />R\ <br />- <br /> <br />9. Present zonin;J of Property: ~ <br />Proposed zonin;J of Property: ~ <br /> <br />10. Present cœprehensive Plan Designation: <br />Proposed cœprehensive Plan Designation: <br /> <br />11. What plan or change makes this ~ request <br /> <br /> <br />.,. <br /> <br />12. What is the expected effect of the proposed change? (For example, on property <br />values, ~ ":t:. sa øty, paD<iI¡<J, tJ:affic con:litiOllS. ' etc.) <br />~~~,,-e (ILr4-'~ t}r,l-'" ~ I U,J.~rY\. <br />