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<br />1+ <br />-if 7¿¡ 9s-o <br /> <br />d./8/1! <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 applyinJ: <br /> <br />PUD $750 <br />== Rezon:in:J $300 <br />v Special Use PeJ:mit $200 <br />== Vacation of Right-of-way $200 <br />_ Preli1ninary am Final Plat $500 <br /> <br />_ CŒprehensive Plan Amerrlment <br />Division of Platted IDt <br />== Relocation of Dwellin;J <br />_ Variance to zonirg ordinance <br />Shoreline PeJ:mit <br /> <br />$750 <br />$100 <br />$100 <br />$200 <br />$ 50 <br /> <br />4. <br /> <br />Please cœplete fom by 'typinJ or prirItirç in ink. If the spaces provided are <br />insufficient, use additional sheets, Jœy~ information to the proper item rn.nnbers: <br />1. ~lJi¡J {St/6¡/Jh Lò .5'¡5¿~f33Ç# <br />Name 0 OWner: (First) (Middle) (Last) (Ihone) <br />.:b..J~- ~AJ1) fÎ1Æ À5(1)DJ~ ~ .;j-b312.. <br />Address of OWner: (No. ani street) (City) (state) (Zip) <br />'fi\J''b E\Jb~ þ~)~ 1-71-2~ <br />(Name of Applicant): (First) (Middle) (last) (Ihone) <br />, , . ,. ' $'1L/ rJ/tJJlU ~ ff)lðPlßfl¡(f¡J IiJJJ ~~ <br />(Address of Appl.) : (No. ani Street) (City) (state) (Zip) <br />,;2 ) lJ- 0 W C Ð Rb C_ <br />Street Address of Property Involved: <br /> <br />3. <br /> <br />2. <br /> <br />5. <br /> <br />6. Complete Legal Description of Property Involved: ~~t:¡ A~ <br /> <br />7. IBte Property Acquired: <br /> <br />8. <br /> <br />Present Use of Property: <br />Proposed Use of Property: <br /> <br />9. Present Zon:in:J of Property: <br />Proposed Zon:in:J of Property: <br /> <br />10. Present Comprehensive Plan Designation: <br />Proposed Comprehensive Plan Designation: <br /> <br />11. What plan or change makes this request necessary? <br /> <br />12. What is the expected effect of the proposed d'1an;Je? (For example, on property <br />values, health, safety, par~, traffic corxlitions, etc.) <br /> <br />t <br />