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<br />CITY OF ROSEVILLE <br />2660 CIVIC CENTER DRIVE <br />ROSEVILLE, MINNESOTA 55113 <br /> <br />Please check item or items for which you are a¡:plYin3: <br /> <br />..;. <br /> <br />..._---"- <br /> <br />r& <br />'})'ó <br />. fI( <br />[¡ ,(( / q¡ <br />?ê- trZ~" <br />tf/ <br /> <br />, <br /> <br />POD $750 <br />- Rez~ $300 <br />v Special Use Permit/:wr~ñ wæ $200 <br />Vacation of Right-of-Way $200 <br />== PreliIni.na%y ani Final Plat $500 <br /> <br />_ Cc:a1prehensive Plan A1'neOOment $750 <br />Division of Platted'lDt $100 <br />~ Relocation of DNellin3 $100 <br />- Vari.an:e to Z~ Ordinance $200 <br />- Shoreline Pe.nnit $ 50 <br /> <br />Please oamplete fODn by typin3 or printi.n3 in ink. If the spaces provided are <br />insufficient, use additional Þ1' JœyÍl'XJ infonnation to the proper, item numbers: <br /> <br />- ~ ú) É <br />1., . ð. ~ . :n ðA' ~ .I <br />Name owner: . (Fii.,,~í/. (Middl] (last) (R1one) <br />2. 9~~ ð~A»-('~du".. ..JL.p~ ~ S£Ó7:J <br />Mñ~ CJwneî': (No. 'am treet) I 1City)' (sta, œ) (Zipl <br />~ 2' ~ . tS/.¡8UJ <br />~~/¿~~) 'LA1C'/~p~ ~3~5;;;9'?' <br />(Name of Appl~cant): (First) (Middle) (Last) Fhone) <br /> <br />(Zip) ! / ;;Z <br />Sð'//3 <br /> <br />3. <br /> <br />4. <br /> <br />5. <br /> <br />6. <br /> <br />7. <br /> <br />8. <br /> <br /> <br />Present Use of Property: <br />Proposed Use of Property: <br /> <br />9. Present Zonirq of Property: <br />Proposed Zoning of Property: <br /> <br />10. Present Comprehensive Plan Designation: <br />Proposed Comprehensive Plan Designation: <br /> <br />'- <br />,11. What plan or change makes this request necessary? <br /> <br />12. What is the expected effect of the proposed change? (For example, on property <br />values, health, safety, parkirg, traffic con:litions, etc.) <br />