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<br />'I~'6~ <br />d' q'J..- <br />11-11- áV <br />1t ' ? ,1 <br />~t' I[/t <br /> <br />CITY OF ROSEVILLE <br />2660 CIVIC CENTER DRIVE <br />ROSEVILLE, MINNESOTA 55113 <br /> <br />Please check item or items for whim you are ë!R;)lyirg: <br /> <br />roD $750 <br />V Rezonin:J $300 <br />_ Special Use PeI:mit $200 <br />Vaœ.tion of Right-of-way $200 <br />- Preliminary am Final Plat $500 <br /> <br />Cœprehensive Plan .A:meTx3ment $750 <br />- Division of Platted I:Dt $100 <br />- Relocation of Dtællin:1 $100 <br />- Variance to ZOr1in:J Ordinance $200 <br />- Shoreline Pemit $ 50 <br /> <br />Please c:::c:::up1ete form by typiD; or printiD; in ink. If the spaoes provided are <br />insufficient, use additional sheets, keyiD; information to the proper item numbers: <br /> <br />1. <.b, Jt\e..s J. 1si.ð..utbo. \lei' 'I ~ -clNð <br />Name of o.mer: (First) (Middle) (last) (Fhone) <br />1¿5 S,¿?Wð.sðð 81114 ~ev/-¡¡e. filII S5!/:ð <br />Ãddress of OWner: (No. and street) (City) (state) (Zip) <br /> <br />~,n1B <br />(Name of A¡:plicant): (First) <br /> <br />5Q~p <br />(Address of Awl.) : (No. and street) <br /> <br />5~ <br />street of Prcperty InvolvEd: <br /> <br />2. <br /> <br />3. <br />, <br /> <br />4. <br /> <br />5. <br /> <br />6, <br /> <br />7. <br /> <br />...__-'0< <br /> <br />8, <br /> <br />10, <br /> <br />11, <br /> <br />12. <br /> <br />(Middle) <br /> <br />(Phone) <br /> <br />(last) <br /> <br />(City) <br /> <br />(Zip) <br /> <br />(state) <br /> <br />~ legal" CeJF~Œl of Prcperty Involved: <br />W '¡jMi: ~-t: ~ <br /> <br />/I/gi <br /> <br />D3.te Prcperty Aa}uired: <br /> <br />Present Use of Prcperty: <br />Pl:q:)osed Use of Prcperty: <br /> <br />9. Present zonin;J of Prcperty: <br />Pl:q:)osed Zonirg of Prcperty: <br /> <br />Present cœprehensive Plan Designation: <br />Pl:q:)osed Catprehensive Plan Designation: <br /> <br />~l plan or ch.arqe makes this request neoessary? <br />ð.!iec.l h"f~'.f.~<S.) <br /> <br />What is the expected effect of the prqx:>sedd1anJe? (For exæple, on property <br />~ues, health, safety, parkil:g, traffic oa:ditions, etci£ ~ <br />It} ð e-tte¿.-j- ð 1 jJ I'cfe/'iý I/..a lu~ ./ /~<~ 1-/'0. /i... lilt +- o./tÞ^ _- <br />