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<br />1f /0¿;6 q <br />4,1 <br />!) <br /> <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 />PUD $750 <br />== Rezonirg . $300 <br />-X- ~--":~l Use PeJ::mit::r:~n'\"f'. $200 <br />Vacation of Righ~£-Way $200 <br />== PreliJnina:ry am Final Plat $500 <br /> <br />Please oarplete form by typirg or printirg in ink. If the spaces provided are <br />insufficient, use additional sheets, keyirg infcmnation to the proper item numbers: <br />~\ \71>- ~ \À ß~·\ Ò \- ~ ~ '" ~c ~ '-(. '\17 - 'd- ~.ss <br />Name of OWner: '\ (F') (Middle) (last) (Phone) <br />~ '-ð--.O kJG-~ \ ~ ve- tV o. R ~\J' I\\Q 'YY\ ,<\, 5:.5") '-3 <br />Address of OWner: (No. street) (City) (state (Zip) <br />GC\\J;L N· W€-S-\--,~~ (WQ~~ B'{1)S,~6-t lo~3~II~t <br />(Name of Applicant): (First) (Middle) (last) (Blone) <br />~d-~\ S(}¡""~ RJl A'('~~~\'\S.)~~, SÇ\\~ <br />(Address of Appl.) : (No. am street) (City) (state) (Zip) <br />ci-\ ~é:J LQ./~\'Í\~-\D" f\vl¿ t\JO. \èD..S.·QJ)\\\~l\{\{\'" -S'S\\~ <br />street Address of Property Involved: <br /> <br />DS~ <br /><;SO'^-l <br /> <br />1. <br /> <br />2. <br /> <br />3. <br /> <br />4. <br /> <br />5. <br /> <br />6. <br /> <br />7. <br /> <br />8. <br /> <br />10. <br /> <br />11. <br /> <br />12. <br /> <br />~ <br /> <br />_ Carp:rehensive Plan AInernment $750 <br />Division of Platted Lot $100 <br />== Relocation of Dwellirg $100 <br />Variance to Zoni.rg Ordinance $200 <br />- Shoreline Permit $ 50 <br /> <br /> <br />\ ~V"'" <br />