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<br />~ll4 . .) <br />,,' I, '1 " <br />I" ~ 11 <br />¡,~ <br />~~~ . <br /> <br />CITY OF ROSEVILLE <br />2660 C M C CENTER DRIVE <br />ROSEVILLE, MINNESOTA 55113 <br /> <br />Please check item or ite.rrs for which you art:: applying: <br /> <br />~FUD <br />_ Rezoning <br />_ special Use Pm:m1t <br />_ Vacation of Right-of-Way <br />_ ~l iJnIDa:ry and Final P I at <br /> <br />$750 <br />$300 <br />$200 <br />$200 <br />$500 <br /> <br />~ive Plan Amendment <br />- Division of Platted let <br />== Relœ..a tion of D.oIell i..rq <br />_ variance to zoning ordinance <br />Shoreline Pennit <br /> <br />$750 <br />$100 <br />$100 <br />$200 <br />$ 50 <br /> <br />Please carp}ete fonn by typ.irq or printin;;J in ink. If the spaces prcrvid.o:t are <br />insufficient, use additional sheets, keying information to the prc:pe.r item I1WTbe1.~: <br /> <br />1. <br /> <br />2. <br /> <br />3. <br /> <br />4. <br /> <br />5. <br /> <br />6. <br /> <br />7. <br /> <br />8. <br /> <br />10. <br /> <br />11. <br /> <br />12. <br /> <br />~~~~~~-.vst~)~ ~~~F 4~7(~ <br /> <br />~2 ~ W ~ ~S1J¡~~ I, ~V 11...-l...E: MtJ ,---.2$11z <br />Address of o..mer: (. an:;) street) (City) (stat.E!} (Zip) <br />~\Tk¿t;" D8.·~nEJ.JTOF MINNßCJfJ',JIJL.7 ~- OlJ'IJ <br />(N8me of liWlicant}: (Fllst) (Hi Itil e) (I.ast) (ft.cne <br />45D ~r ~/) ~-8-J~~ ~ttJ~D~ 55-¡l1/p <br />(iId1r@ss of AWL).. (No. æ1!:1 ) (City} (state) (Z:L ) <br />125 W L.I'Q!...Y~T~~. f.05ev,~. f"1N· ~--"11 ~ <br />~ ~ .of ~ Irwolve:l: r <br />cœplete Legal Descriptioo of ~ !mrtJ.l\l'éð: ~ M 'ILV M <br />(]ULL~ _ <br /> <br />~te~~: ~ íO~~A,~2 <br />Present Use of P.t~; ~ Lb ' g. ~ertc. zorill'q of Prq;:crt:y~ ~ <br />FrcpJsed liSe of fI);~: ~ID, P:t..~ ~ of Prq;:crt:y~ ~ <br />'PGD <br />~ eu...~ive pli!ß ~ignatiM: _...t;1....$-~ <br />fir> ~ C-œp1::éhèI~i~ Plan D!ISi~tia1: ~ <br />1or.tJat plan or ~ makes tI1.is I'EqUE!B't ~~ ~ (L)10 ~~~Q~ or- <br />SLwb.~ ~C1~""""'b. ~~I~ ~~~~I-t:;.~ T1:bii <br />-L ~-h+1-J1... ¡;; J:t) "2. ~,...rl... F"¥.{;>/'-L ~- 1 ~ r;- ~ 1 <br /> <br />~t. is the ~ ~f~ of the prq:oscd~? (for ~le a'J ~ <br />values p hèalth p sa.fety p parT.in; ~ traffic ~t.!a:a. ett::.) <br /> <br />-¡~~~ª~~~l~¡5 <br /> <br />jAJTÐJ Þt.:~ TV ß¡?: ¡tt"rN;')("'b"'Ò /rL-'L. f/f'J ..j¡T5 I ~,-. ~S <br />\,N' &ì...lL...-G. ¡^I~"")t5 G t,...u I N Dt"ç;L L..........~ i\.....'2.fl {.;0 up ¡H1:C P /~'r:.J '::. t;:;,""'D. <br />~ V~"Î,T3 Jf"' t+L--0"~~ ~ . <br />