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<br />I <br />I'. <br /> <br />CITY OF ROSEVILLE <br />2660 CIVIC CENTER DRIVE <br />ROSEVILLE, MINNESOTA 55113 <br /> <br />Please check item or it:ens for whidl yal are applyirg: <br /> <br />IUD <br />-:Rez . <br />_ onl.l'Y;J <br />~ Special Use PeJ:mit <br />Vacation of Right-of-Way <br />== PreliIninaJ:y am Final Plat <br /> <br />$750 <br />$300 <br />$200 <br />$200 <br />$500 <br /> <br />_ Cœprehensive Plan Amerrl1rent <br />Division of Platted IDt <br />== Relocation of Drlellirg <br />Variance 'to Zon:Ïn3 Ordinance <br />- Shoreline PeJ:mit <br /> <br />$750 <br />$100 <br />$100 <br />$200 <br />$ 50 <br /> <br />Please CCI'lIplete form by typirg or printirg in:ink. If the spaces provided are <br />insufficient, use additional sheets, keyirg infonnation to the proper item rnnnbers: <br /> <br />5. <br /> <br />~ A~fl uP all ¿OJ <br />Name of OWner: (First) (Middle) <br />J. (/:0.& <br />(No. am street) <br />J/90é: Vt/é. <br />(Name of Awlicant): (First) (Middle) (last) <br />s: ~. 0 Lol.-A-.r / /1n /l/..~. .#1/ k. /11 i/ <br />(Address of Awl.) : (No. am street) (City) (state) <br />~vf// /!/ ¡;//þ';/.¿'~~ 12¡;;ç¿0//-e/, ~þ/ÇS-I/? <br />street Address of Property Invo1: 00: <br />¿ <br /> <br />(last) <br /> <br />(fhone) <br /> <br />1. <br /> <br />2. <br /> <br /> <br /> <br />605:;1;2 J 91 <br />(state) (Zip) <br />79 /-' ~'1C?.f <br />(Phone ) <br />S~I(.J-1 <br />(Zip) <br /> <br />3. <br /> <br />I 4. <br /> <br />6. <br /> <br /> <br />7. <br /> <br />Date Property Acquired: <br /> <br />9. Present Zonin;J of Property: <br />Proposed Zonin;J of Property: <br /> <br />8. <br /> <br />Present Use of Property: <br />Proposed Use of Property: <br /> <br />10. Present Comprehensive Plan Designation: <br />Proposed Comprehensive Plan Designation: <br /> <br />11. What plan or cl1arXJe makes this request necessary? <br /> <br />12. What is the ~ effect of the proposed cl1arXJe? (For example, on property <br />values, hèa1th, safety, parki.rg, traffic c:::orñitions, etc.) <br /> <br />........~-, <br />