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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 aWlyin:J: <br /> <br />p~ <br />~þ <br />~ti <br /> <br />~,~~ <br /> <br />tfb <br />,t..6;~fIO <br />1').' Al <br /> / .. '). <br /> <br />RID <br />- RezoI1inJ <br />7 Special Use Pennit <br />_ Vacation of Right-of-Way <br />_ Preliminary an:i Final Plat <br /> <br />$750 <br />$300 <br />.c:!Ò)nn. r--~ <br />(-~/ <br />$200 <br />$500 <br /> <br />Ca11p:rehensive Plan Amendment <br />- Division of Platted IDt <br />- Relocation of ~1in:J <br />== Variance to Zonin:J Ontinance <br />Shoœline Pennit <br /> <br />$750 <br />$100 <br />$100 <br />$200 <br />$ 50 <br /> <br />Please c::œplete form by typin:J or pri.ntinJ in ink. If the spaces provided are <br />insufficient, use additional sheets, keyin:J information to the proper item numbers: <br />1. -íi.. ~Jð{'~ Sc.o -H- /.'" A-u Sc-1'1 l.{i7·2 6rJ'?- <br />Name of OWner: (First) (Middle) (last) (Rlone) <br />2. 113O¡S X";'f:;h /ÑJ-<- SfìIIWA-~Y- /H/1/ ...s"'Sð<l'L <br />Address of OWner: (No. an:i street) (City) (state) (Zip) <br />3. 6- () AL~ Am O~--'*) ~~-<l;t'00 <br />(Name of Applicant): (Fllst) (Middle) (Last) (Fhone) <br /> <br />4. <br /> <br />(Address of Appl.) : (No. am street) <br /> <br />2/~ A/. () A L~ ~<¡t.. <br />street Address of Property Involved: <br /> <br />6. COnplete Legal Description of Property Involved: _~~( YL. -Tw..o2<ì -A,-",_2~ <br />$ J 5:'" ~ ¡:; I:- ð FuJI !:Ç<' F.¡- ð ¡::: .s ~ n :ë: ~ r ø ~ .5. LCJ ¡Ii.( ð ¡:: ,oe;.w ý't.¡ <br />C~, ~ A.£ c ec:..~,iç:> i'-<) <br /> <br />(City) (state) (Zip) <br /> <br />Lo.<:'~/.JI·//(... /1IJt/ 6JÍ I') <br />. <br /> <br />5. <br /> <br />7. Date Property Acquired: <br /> <br />9. Present ZoI1inJ of Property: ¡g - ~ <br />Proposed Zonin:J of Property: <br /> <br />8. <br /> <br />Present Use of Property: <br />Proposed Use of Property: <br /> <br />10. <br /> <br />Present Canprehensive Plan Designation: <br />Proposed COnprehensive Plan Designation: <br /> <br />¡1,1I $~""~ ~ <br />- .sAJ'YI,-~ - <br /> <br />11. What plan or ~e makes this request necessary? <br /> <br />12. What is the expected effect of the proposed chan:Je? (For example, on property <br />values, health, safe-çy, park.in;J, traffic corrlitions, etc.) <br />\ ¿J /'MIp _I <br />. <br />