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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 whidl you are ~lYÌß:J: <br /> <br />4~~ <br />J } <br />Dq , (0/ <br />D1' l' \ <br />l' fJ..- <br />r\ <br /> <br />?~ <br />Ct <br /> <br />PUD <br />Rez . <br />- onJ.l'g <br />X- Special Use Penni.t <br />_ vacation of Right-of-Way <br />_ Preliminary am Final Plat <br /> <br />$750 <br />$300 <br />$200 <br />$200 <br />$500 <br /> <br />_ o:mprehensive Plan .AmerxËent <br />Division of Platted I.Dt <br />- Relocation of IMellÌß:J <br />- vari.arD! to Zonil'g Ordinance <br />- ShoJ:eline Pelmit <br /> <br />$750 <br />$100 <br />$100 <br />$200 <br />$ 50 <br /> <br />(5J <br />""'--~.- <br /> <br />Please c::cmplete fonn by typÌß:J or pri.ntirç in ink. If the spaces provided are <br />insufficient, use additional sheets, JœyÌß:J infœ:mation to the proper item numbers: <br /> <br />1. S-~A-C.-e CeN~ TI'JG. <br />Name of owner: (FirSt) (Middle) <br />4 ~~ ~ ST,?~ <br />Address of owner: (No. an:! street (City) <br /> <br />..)T¡¿/ck ¡PM 0 6?6-2l.J't¡ <br />(Name of 1\R)licant): (First) (Middle) (Last) (Phone) <br />/9;20 WPSf C'11dlá C fos-e{/,/I~ <br />(Address of 1\R)l.) : (No. an:! t) (City) (state) <br />~!1Ls~I~lv~J ~os~,Il~. fY'Ñ. <br /> <br />(Last ) <br /> <br /> <br />2. <br /> <br /> <br />3. <br /> <br />4. <br /> <br />SS// :$ <br />(Zip) <br /> <br />. 6_~) <br /> <br />cœplete Legal Description of Property Irwolved: <br /> <br />5e.e ~"~r Ä. <br /> <br />7. Date Property Acquired: <br /> <br />8. Present Use of Property: ~\Jc..K Tev-", ~ }c9. Present Zonin;J of Property: <br />Proposed Use of Property: :5~.J Proposed Zonin;J of Property: <;~ <br /> <br />10. Present CŒlprehensive Plan Designation: <br />Proposed Cuuprehensive Plan Designation: <br /> <br />11. What plan or chan;Je makes this request neœssary? <br /> <br />~f~3 ~ ~ -:.. P:~~ ~\\~ ~"'- <br /> <br />ta~~ r . <br />12. What is the expect:.ed effect of the prcposed c::harçe? (For exanple, on property <br />values, health, safety, parkin], traffic oc:ntitions, etc.) <br /> <br />l'Jo..,se...- <br />