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<br />cf< 50 0 <br />?~ - 03/0 t1J3 <br />t!t- 6.3 2:2 q '!J <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 awlyin;J: <br /> <br />Please OCIIplete fom by typin;J or printin;J in ink. If the spaces provided are <br />insufficient, use aatitional sheets, keyirq infcmnation to the proper item numbers: <br />1. ~~ n""j. <br />(First) <br />crc:gl W. Lc' Re). L-d-- <br />Address of owner: (No. am street) <br />SG\ M't- as C'\ be V e..../ <br />(Name of 19>1icant): (First) <br /> <br />IUD <br />-Rez . <br />_ 0JUn;J <br />_ Special Use Pennit <br />~ Vacation of Right-of-way <br />Preliminary am Final Plat <br /> <br />$750 <br />$300 <br />$200 <br />$200 <br />$500 <br /> <br /> <br />2. <br /> <br />3. <br /> <br />4. <br /> <br />_ CClIprehensive Plan Amerrlment <br />Division of Platted Lot <br />- Relocation of IMtilin;J <br />- variance to Zor1in3" Ordinance <br />- Shoreline Permit <br /> <br />$750 <br />$100 <br />$100 <br />$200 <br />$ 50 <br /> <br /> <br /> <br />(Middle) <br />~5~V~t\~ <br />(City) <br /> <br />Last) <br />(S~) <br /> <br />.5SJ16 <br />(Zip) <br /> <br />(Middle) <br /> <br />(Rlone) <br /> <br />(Last) <br /> <br />(Address of Appl.) : (No. am street) <br /> <br />(City) <br /> <br />(state) <br /> <br />(Zip) <br /> <br />5. <br /> <br />street Address of Prcperty In'IToI ved: <br /> <br /> <br />6. <br /> <br />7. Date Property Acquired: <br /> <br />8. Present Use of Property: wt-l;"e ~er.{ 9. Present Zonirv;J of Property: Y. I <br />Proposed Use of Prcperty: Proposed zoning of Property: <br /> <br />10. Present Catprehensive Plan Designation: <br />Proposed Carlprehensive Plan Designation: <br /> <br />11. What plan or chan1e makes this ~ ~"'ary? \A1 ~/U ~ ke +-CJ <br />-4 Vlt.~+(.....; -+\1<- ~<-r) 5h'~..e:.t V\ e..XT -t-o IAS. <br /> <br />12. What is the expected effect of the pIq)OSed c::han:Je? (For exaITple, on property <br />values, health, safety, par)dn;J, traffic ocntitions, etc.) . <br /> <br />=l~ tr~- ~ ~',,~ ~ f~~,r~ h;;J6<' <br />. rf, "', 114~C ~e. i r A '117 ~11 A~ p"Orl1-" <br />