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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 applyirg: <br /> <br />roD <br />-Rez . <br />_ 0IU.n3' <br />Special Use Permit <br />X vacation of Right-of-Way <br />_ Preliminary am Final Plat <br /> <br />$750 <br />$300 <br />$200 <br />$200 <br />$500 <br /> <br />_ Carprehensive Plan AmerrlIœnt <br />Division of Platted lDt <br />== Relocation of IMellirg <br />Variance to Zonin:J Ordinance <br />- Shoreline Permit <br /> <br />$750 <br />$100 <br />$100 <br />$200 <br />$ 50 <br /> <br />J~DÇ <br /> <br />Please cœplete fonn by typirg or printin;J in ink. If the spaces provided are <br />insufficient, use additional sheets, keyirg info:rmation to the proper item numbers: <br /> <br />1. <br /> <br />4)ill¡;¡I"d IIIf«lv/~'L <br />Name of OWner: (First) (Middle) <br />/9?~ 4Ç. ¿/ttp,,...ol 5~, ~~I',ïk <br />~ <br />Mdress of OWner: (No. am street) (City) <br /> <br />¡,}///élrd. IIlf/ftV/{-l1- <br />(Name of A¡:plicant): (First) (MIddle) <br /> <br />/9 7~~' &/t T"nJ 51-. ~.se¿,l·II~ <br />(Address of Appl.) : (No. am street) (City) <br /> <br />It//)5 ~ ·CJ;r5-l1rd 57-- ¿~I/,"/b/ <br />. <br />street Address of Property Involved: <br /> <br />2. <br /> <br />3. <br /> <br />4. <br /> <br />5. <br /> <br />6. <br /> <br />Description of Property Involved: . <br />I, ,¿=; -¿.ss~"J.'.s" /IÞ.sr- -4c~$ #. <br /> <br /> <br />¿;;;r, PC ~3'ð'"-3~/ <br />(last) (Phone) <br />;414/ ~j"S-/13 <br />(state) (Zip) <br />Crr,vr ~Fr' ~&I <br />(last) (Phone) <br />~.u :>-~-//.3 <br />(state) (Zip) <br />.# ;// 5':>-/1..3 <br /> <br />7. <br /> <br />8. <br /> <br />Date Property Acquired: 11/76 <br /> <br />Present Use of Property: 5p;¡ <br />Proposed Use of Property: .5 r# <br /> <br />9. Present Zoning of Property: ~ ) <br />Proposed Zoning of Property: ~ J <br /> <br />10. Present Conprehensive Plan Designation: <br />Proposed Conprehensive Plan Designation: <br /> <br />11. What plan or change makes this request necessary? <br /> <br />\\ <br /> <br />12. What is the expected effect of the proposed-change? (For example, on property <br />values, health, safety, parking, traffic corrlitions, etc.) <br /> <br />'-'"". <br />