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<br />~4 ~ <br />ì <br /> <br />i1 <br />9 f\ \ <br />d \ /tI (\\ <br />,,\ I~('\ <br />()C/o.o.'~ <br />r t/ <br />~ <br /> <br />.. <br /> <br />CITY"OF ROSEVILLE <br />2660 C:rv:rC CENTER DRIVE <br />ROSEVILLE, M:INNESOTA 55113 <br /> <br />Please check item or iteDs for which you·are ~ly~: <br /> <br />.', <br /> <br />roD <br />--~~-Rez-~-- <br />- ~ <br />_ Special Use Permit <br />_ Vacation of Right-of-way <br />_ Preliminazy am Final Plat <br /> <br />$750 <br />.. $300 <br />$200 <br />$200 <br />$500 <br /> <br />, _ CaIlprehensive.. Plan Amemment <br />-~.::.L -Division 6f-plëitEëd Lot <br />Relocation... of DweJ.lin;J <br />== Variance to Zon:in:J 0J:ài.nance <br />Shoreline Per:mi.t <br /> <br />$750 <br />$100 <br />$100 <br />$200 <br />$ 50 <br /> <br />Please c.arplete fcmn by typin1 or pri.ntin;J in ink. If the spaces provided are <br />. . insufficient, use additi~~, JœyiIg infazmaticn to the p;g>er item nmi:Jers: <br />1. , -I4V d S. G{)rJ~ ~?r-916J <br />' Name of OWner: (First) (Middle) (last) (Ihone) <br />17ø -vi f!~ fJ ß;k ~se'i/i/kf. Jln- 55//3 <br />Address of OWner: (No. am ) (C') ( tate) (Zip) <br /> <br />Sd.~fr ~S ~6Ætlt¿./ (last) <br />(Name of Applicant): (First (Middle) <br />SJ ~e ..,15 d./ni/{J / <br />(Address of Appl.) : (No. am street) (City) <br /> <br />street ÞàJress 01 ~ uL~~ df rfJ· l} <br /> <br />2. <br /> <br />3. <br /> <br />(Fhone) <br /> <br />4. <br /> <br />5. <br /> <br />(state) (Zip) <br />IftJ.5s.ä/l) /II». SSl/3 <br /> <br /> <br />8. <br /> <br />10. Present Comprehensive Plan Designation: <br />Proposed Comprehensive Plan Designation: <br /> <br />11. What plan or chan:;Je makes this request necessary? <br /> <br />12. What is the expected effect of the proposed ch.an:Je? (For example, on property <br />values, health, safety, parkÏ.I'g, traffic corxtitions, etc.), <br />