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<br />/' <br />I' ï" <br />IJ. ! " <br />~:F <br /> <br />\.4: <br />J <br /> <br />\ <br /> <br />CITY'OF ROSEVILLE <br />2660 C:IVI:C CENTER DRIVE <br />ROSEVILLE, MINNESOTA 55113 <br /> <br />Please check item or items for which you are ëig)lyin}: <br /> <br />", <br /> <br />RID <br />~ ~"=""'""'"""---ReZ----~' ----------- -, <br />- 0IU1'Ç <br />; : _ Special Use PeJ:mit <br />'_ Vacation of Right-of-way <br />_ Prel.iminæ:y ani Final Plat <br /> <br />$750 <br />--$300 <br />$200 <br />$200 <br />$500 <br /> <br />CaDprehensive Plan Amerrlment <br />biV:iSìonof Platted Lot <br />- Relocation of Dwellin} <br />7 Variance to Zarrl.n; Ordinance <br />- Shoreline Pemit <br /> <br />$750 <br />$100 <br />$100 <br />$200 <br />$ 50 <br /> <br />Please cx::arplete fcmn by typin} or printin.J in ink. If the spaces provided are <br />.,·insufficient, use additional sheets, keyin} infœ:mation to the proper item numbers: <br />".~ ' . tU~ <:P<::?/~/ð"O <br />".:;i_1.., Æ~/7~ -ZJð'n27M bisvd/e4 ~ ~~/67ð <br />Name of OWner: (First) (Middle) (Iast) (Ihone) <br />2. 9'7ð -?r=17AS;;f-4Þ"e_ R~I/~- ~. ~/8 <br />Address of O'tmer: (No. ani street) (City) (state) (Zip) <br />3. ~Á7/2d ...PtnlZ1/~ ¿f;;~'~d/d ~?4-/67ð <br />(Name of Applicant): (First) (Middle) (Iast) (Ihone) <br />.4. 9'7ò ~ð/l-.S'.;;r4v€ ~ð.St"'Y;~~.-#"1 ~/ß <br />(Address of Appl.) : (No. ani street) (City) (state) (Zip) <br />5. 97ð ~8A.$')r4ve <br />street Address of Property Involved: <br /> <br />6. <br /> <br />Carrplete Legal Description of ~ Involved: <br />'L.ð7' /2 eLk ~c: 1P., /i1;c.Aðe/ ~ur'7H #dd;7';'~ <br /> <br />7. <br /> <br />tate Property Acquired: <br /> <br />8. <br /> <br />Present Use of Property: <br />Proposed Use of Property: <br /> <br />9. Present Zoni.n;J of Property: <br />Proposed Zoni.n;J of Property: <br /> <br />10. Present Carrprehensive Plan Designation: <br />Proposed Carrprehensive Plan Designation: <br /> <br />11. What plan or change makes this request necessa:ry? <br /> <br />12. What is the expected effect of the proposed change? (For example, on property <br />values, health, safety, parki.rg, traf~ic corrlitions, etc.). <br />