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<br />.-, .- <br /> <br />t;.þ <br />'f1-(-'~1 <br />1./']..7 <br />~t-:; <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 apply.in3': <br /> <br />POD $750 <br />_ Rezon.in3' $300 <br />_ Special Use Permit $200 <br />_ Vacation of Right-of-way $200 <br />Preliminary am Final Plat $500 <br /> <br />\ CclIprehensive Plan Amen::hœnt <br />- Division of Platted IDt <br />== Relocation of DwelI.in3' <br />vari.an:::e to Zani.rç 01:ùi.nance <br />=x: Shoreline Permit <br /> <br />$750 <br />$100 <br />$100 <br />$200 <br />$ 50 <br /> <br />/2. <br /> <br />Please CCI1'plete form by typ.in3' or printirg in ink. If the spaces provided are <br />insufficient, ~ additiOl'1iÙ:.~ lœY.~ ~rmation. to the proper item numbers: <br /> <br />Vl. t:A~~fJt"~ftK~~~L~~ R~ ~ < ~3-oSq8' <br />Name of OWner: (First) (Middle) (last) (Mtcne) <br />~-lo \ HËI1JISL 1)R))Jb eOScV1LLt MlV )~ 113 <br />Address of OWner: (No. am street) (City) (state) (Zip) <br />--C!\~ p~~ D..J.~ RoN /r'-D ~- e/L~ rð'l-Ib'f <br />(Name of Applicant): (First) ( ddle)' (last) (Ib) <br />;;~"'-1 ~5J YP Ii- fÇ( 1()-t?L-. P /2- R-o s AJ ILL t:;- -~Sll 3 <br />(Address of Appl.) : (No. am street) (City) (state) (Zip) <br />S-l£, I 'H Ë IAJt:.L- '1) R. ~cSE V.LLL£' fV/ IJ )' ~/l3 <br /> <br />, <br />street Address of Property Involved: <br /> <br />3. <br /> <br />4. <br /> <br />'/ 5. <br /> <br />Cc:m1plete ü:!gal Description of Property Involved: <br />·UEt~E..'- a.""~ =l:,~/..J:ZE.'- .\\òð~-t,~ L...~ 2 ~tk?. <br />:L1) .it Ol-l. -2.~-L~-{)()q3-1 <br /> <br /> <br />J 7. Date Property Acx}uira:l: Q-\. \ <1 ~':b <br />'--'s.NlI'- Present Use of Property: 5/ ~G L8 ~ ¡t-'(. Present Zon.in3' of Property: <br />:/~ Proposed Use of Property: SI}!1J' Proposed zon.in3' of Property: _,._ <br />10.11~ Present CŒlprehensive Plan Designation: <br />7' Proposed CŒlprehensive Plan Designation: <br /> <br />6. <br /> <br />/í1. <br /> <br />What pl~ oJ; ~~:r:t neces;:;~ ~ A ~ <br />C~, .CM.-.- -/7~. 0 <br /> <br /><--/12. <br /> <br />What is the expected effect of the proposed cllan;Je? (For example, on property , <br />values, health, safety, park.in3', traffic corñitions, etc.) <br /> <br />v <br /> <br />'Vg <br />.,. \ <br />" /1} <br />q <br />\__l-< <br />}\ h' <br />\) <br />