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<br />, - <br />-z- -z.. 0 0 <br />4qð' <br /> <br /> <br />r <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 />roD <br />-Rez . <br />- orurg <br />Special Use Pennit <br />~ Vacation of Right-of-Way <br />_ Preliminary ani Final Plat <br /> <br />$750 <br />$300 <br />$200 <br />$200 <br />$500 <br /> <br />_ Cauprehensive Plan AmerXlment <br />Division of Platted I.Dt <br />- Relocation of Drlellirg <br />- Variaœe to zonirg Ordinance <br />- Sho:œ1ine Pemit <br /> <br />$750 <br />$100 <br />$100 <br />$200 <br />$ 50 <br /> <br />Please caDplete fonn by typirg or printin;J in ink. If the spaces provided are <br />insufficient, use additional sheets, keyirg information to the proper item numbers: <br />1. <.ÁelM€-S ~- ¡/vDÞL-f_õ/orJ ta'l' /t:t8o <br />Name of OWner: (First) (Middle) (last) (Fhone) <br />2. 2-2.0>0 ~r-/,j ~- ~ó.Je..vi-/I~ .-u.Y[, ~õll.3 <br />Address of OWner: (No. ani street) (City) (state) (Zip) <br /> <br />3. t/ .4-/'-1 ~\.J' ~ d/u V?'4£. s:-;r~.n./ íðS"C¡ / 4- 8 D <br />(Name of Applicant) : (First) (Middle) (last) (Fhone) <br /> <br />4. 2--~0 hP'Y";-r ~ ¡¿:OtJ(fW/Y/@/ k.~ I . ~¡J-.J13 <br />(Address of Appl.) : (No. am street) (City) (state) (Zip) <br />5. .c¡- 2J .so tfJ~/lúS't) é? / v' J, «tJJ ~ / )/~ H 11 . <br />street Address of Property Involved: . <br /> <br />6. Ccln'plete Legal Description of Property Involved: LD -T.s- 3 ~ 4 <br />-== /3 L 001:=- 1 . £/ u OO~¿Ç<ST6lV' ~a:l<e...v/ e...~ <br /> <br />7. Date Property Acquired: ~~ 19 7 0 <br /> <br />8. Present Use of Property: ¡: e.ú I .~ .,,;.f 9. Present Ze>nÏnJ of Property: ¡¿ I <br />Proposed Use of Property: Re- 6,de-'(4 Proposed Ze>nÏnJ of Property: r< I <br /> <br />10. Present Ccln'prehensive Plan Designation: <br />Proposed Corrprehensive Plan Designation: <br /> <br />11. What plan or c.han:Je makes this request necessary? <br /> <br />12. What is the expected effect of the proposed c:ban;Je? (For example, on property <br />values, health, safety, parking, traffic corditions, etc.) <br />