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<br />J ql <br />f) DI( 1;' <br />J~ :?) ,ql <br />, ft j,'J.é:> <br />ae. <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 applyirg: <br /> <br />Please complete fonu by typirg or printirg in ink. If the spaces provided are <br />insufficient, use additional sheets, keyirg information to the proper item numbers: <br />1. í(t)'I {)Jd!Ië1M J1iý1«ÞIc--· :ÞoAl{f.wII11éJrYJS ""IR9-¡//67 <br />Nam«;/of OWner: (First) (Middle) (Last) (Phone) <br />.,. ¡5 7rJ ~ ~M'I?OAJs L>L¡}~ /IIò <br />¢7S 'Jnt! l/tt"f~OIl./ s 8ú/ b Älo <br />Address of OWner: (No. am street) <br />ß y tv: (II~YVJ ~{¿6Ie <br />(Name of Applicant): (First) <br /> <br />RID <br />Rezoning <br />== Special Use Permit <br />_ Vacation of Right-of-Way <br />1- Preliminary 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 />_ Comprehensive Plan A:mendrænt <br />Division of Platted Lot <br />== Relocation of IMeJ.lin:J <br />Variance to zoning ominance <br />- Shoreline Permit <br /> <br />$750 <br />$100 <br />$100 <br />$200 <br />$ 50 <br /> <br />~.5evlìIL <br />(City) <br /> <br />/J1lli' <br />(state) <br /> <br />sa 113 <br />(Zip) <br /> <br />(Middle) <br /> <br />(Last) <br /> <br />(Phone) <br /> <br />(Address of Appl.) : (No. am street) <br /> <br />(state) <br /> <br />5. <br /> <br />(City) <br /> <br />(Zip) <br /> <br />street Address of Property Involved: <br />6. COl'rplete legal Description of Property Involved: <br /> <br />7. <br /> <br />7'1 <br /> <br />8. <br /> <br />'IBte Property Acquired: tv' 0 (j I <br /> <br />Present Use of Property: ;/{-I <br />Proposed Use of Property: £. - I <br /> <br />9. Present Zoning of Property: ;< - ( <br />Proposed Zoning of Property: I< - I <br /> <br />10. Present COl'rprehensive Plan Designation: <br />Proposed COl'rprehensive Plan Designation: <br /> <br />11. <br /> <br />What plan or change makes this request necessary? <br /> <br />. <br /> <br />0'/~i1 d,:1 / t5 ~OIÙ <br /> <br />12. What is the expected effect of the proposed change? (For example, on property <br />values, health, safety, parking, traffic comitions, etc.) <br />I ¡tJ tJ. V'{>,a.s~ c1 J a I vC---.. <br />