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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 />RID <br />-Rez . <br />_ oru.n;J <br />~ Special Use Pennit <br />_ Vacation of Right-of-Way <br />Prelilninazy ani Final Plat <br /> <br />$750 <br />$300 <br />$200 <br />$200 <br />$500 <br /> <br />___ CClIprehensive Plan Amerxñœnt <br />Division of Platted IDt <br />- Relocation of IMellin:J <br />- Varian::e to zonirg ordinance <br />- Shoreline Pennit <br /> <br />? I <6D ,j.-fv <br />{j-b ,->'I~J <br /> <br /> <br />'Î ~ 't, I'. <br />'", ~ " <br />..... i'J...' <br />I " <br /> <br />f~' <br /> <br />$750 <br />$100 <br />$100 <br />$200 <br />$ 50 <br /> <br />Please cœplete form by typ:in1 or pr.intiJ'ç in ink. If the spaces provided are <br />insufficient, use additional sheets, keyin:J information to the proper item numbers: <br /> <br />"¥ø~-r ça, <br />Name of owner: (First) (Middle) <br /> <br />\!:>1':;: ~~ ~o.we. ~'-t.'" <br />Address of owner: (No. ani street) (City) <br /> <br />W\~l~ :ro~ <br />(Name of Applicant): (First) (Middle) <br /> <br />I ~o \.A.:).. Co {U) c..... ~-c Pð,)- <br />(Address of Appl.) : (No. ani street) (City) <br /> <br />5. \ ~ "Z..&.. ~. c...o U-o b <br />street Address of Property Involved: <br /> <br />1. <br /> <br />~rIast) <br /> <br />~. <br />(State) <br />~~ <br />(last) <br />fW.J.. . <br />(state) <br /> <br />2. <br /> <br />3. <br /> <br />4. <br /> <br />~z. . 6'Z#iiD <br />(Rlone) <br /> <br />00$"'151 t "'- <br />(Zip) <br /> <br />~c. '~9() <br />(Rlone) <br /> <br />"':JiÞ'\ \. ~ <br />(Zip) <br /> <br />6. Conplete Legal Description of Property Involved: ~ ~cn-~ \..,~ f' I Ol: <br />~ ~ \~ t::.e:.E1 .ðC- ~ w~ '00 £e.sq- 0.1:- ~ ~~e!l'bì <br />&.~~ þÇo Wc.::no..,) \'D , "'tbuJ~ø ~ D~~.æ ~ ~RIo~~"'t"'t) <br />~~ ~"8. ' <br /> <br />7 . Date Property Acquired: \ ~11111.> <br /> <br />~tzonirgofProperty:5C <br />PropoSed zonirg of Property: ~ C. <br /> <br />~c.... <br />-:Sc.- <br /> <br />8. <br /> <br />Present Use of Property: &,¡::.6! ÇOOÐ 9. <br />Proposed Use of Property: <br /> <br />.,. 10. <br /> <br />Present Cœprehensive Plan Designation: <br />Proposed Cœprehensive Plan Designation: <br /> <br />..... 11. <br /> <br />What plan or chan3e makes this request necessary? <br /> <br />~eu..::o u 'alE' <br /> <br />'" 12. What is the e.xpeèted effect of the prcp:sed c:harge? (For exanple, on property <br />values, health, safety, parkinJ, traffic oonditions, etc.) <br />wo hÐ"'~ h"("~S / ~"¡tab k"E""50'S ~ <20 0...0 ~ ~ <br />~ ~...-r'T.~c.. 1.. ~n_..._.... <br />