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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 applyirç: <br /> <br />RID <br />-Rez . <br />_ OIUD;J <br />_ Special Use Permit <br />_ Vacation of Right-of-way <br />Preliminary am Final Plat <br /> <br />$750 <br />$300 <br />$200 <br />$200 <br />$500 <br /> <br />_ Cœprehensive Plan .AtneIm1ent <br />Division of Platted IDt <br />== Relocation of. Dwellirç <br />_ variaooe to zaúrg ordinance <br />Shoreline Permit <br /> <br />$750 <br />$100 <br />$100 <br />$200 <br />$ 50 <br /> <br />Please CClIplete foxm by typin:J or printin;J in ink. If the spaces provided are <br />insufficient, use additiooa1. sheets, Jœyirç information to the prc:.per item numbers: <br /> <br />1. <br /> <br />"""11"'0 do ('~ :SC.ð f'¡' <br />Name of owner: (First) (Middle) <br />;2 J <¡'O .ß pA L~ S-t-. R U <br />Address of owner: (No. am street) (City) <br />-5fr1J1- <br />(Name of A¡:.plicant): (First) (Middle) <br /> <br />ß/'AcJ Se /t <br />(last) <br />/JJ,J <br />(state) <br /> <br />2. <br /> <br />3. <br /> <br />(Last ) <br /> <br />4. <br /> <br />Lf~7~ ~$Õ~ <br />(!hone ) <br />S-~113 <br />(Zip) <br /> <br />(Phone) <br /> <br />(Zip) <br /> <br />(Address of A¡:.pl.) : (No. am street) (City) (State) <br />21t,f{ Alf)A-¿<- ~f r 7/ ~o p. IJA-¿-e.. s..t,.. <br />street Address of Prq)erty Involved: <br />6. CCmplete legal Description of Prq)erty Involved: <br /> <br />5. <br /> <br />7. Dite Prq)erty Acquired: <br /> <br />8. <br /> <br />Present Use of Prq)erty: <br />Proposed Use of Prq)erty: <br /> <br />v- <br /> <br />9. P.œsent Zoni.rg of Prq)erty: <br />Proposed Zoni.rg of Prq)erty: __ <br /> <br />10. Present CCltprehensive Plan Designation: <br />Proposed Carprehensive Plan Designation: <br /> <br />11. What plan or charge makes this request necessary? ~ .£ 1:2. (/1) <br /> <br />12. What is the expected effect of the proposed c:::ha1'çe? (For exanple, on property <br />values, health, safety, parIdnJ, tzaffic cxrditia1sš:;;'"(.4 ~ <br />