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<br />I) f~D / <br />/l,v/ , <br />y ~I~C( <br />ft.' Ooq?-!, 'I' <br />~c/ <br /> <br />CZTY OF ROSEV:tLLE <br />2660 C:rvJ:C CENTER DRrVE <br />ROSEVXLLE, IIINHESOTA 55113 <br />Please check item or items for wcn ycu are 8R>lyjD): <br />J:UD $750 _ O:I1p%ehensive Plan Amen:tnent $750 <br />- Rezonin;1 $300 V Divisicm of Platted IDt $100 <br />_ Special Use Permit $200 ~ Relocaticm of DiIellirg $100 <br />Vacation of Right-of-way $200 _ Variance to Za1.inJ C>rd5.nance $200 <br />- Pre!" am Final Plat $500 Shoxe1ine Permit $ 50 <br />_ lIIIJ..11aJ:Y <br />Please cc.uplete fom by typirg or printiJ1q in ink. If the spa~ provided are <br />insufficient, use adtiticnU sheets, keyiD:J infomatim to the pr'q)er item numbers: <br />1. ()9//I/J /?J/e./I,ft:;L, 6-L.5~A/ b~~ ~3&!, <br />Name of owner: (First). (Middle) (Iast) (B1one) <br />2. /7/~ ~hhAl~ 4t/;;~4P/i.L:r /"7# .?::!?#3 <br />Address of owner: (No. am t) (City) (state) (Zip) <br />3. :r/l/YI~ <br />(Name of Applicant): (First) (Middle) (Iast) (Rlone) <br /> <br />4. <br /> <br />Y4/'J~ <br />(Address of AR>1.) : (No. am Stteet) <br /> <br />street Address f~ Involved: <br /> <br />(City) <br /> <br />(state) <br /> <br />(Zip) <br /> <br />5. <br /> <br />6. Canplete Isgal Description of ~ Imrolved: <br /> <br />7. Date ~ Acx}Uired: <br /> <br />9. PJ:esent zon.in:J of ~: <br />P.I:q)osed Zonin;J of ~: <br /> <br />8. <br /> <br />Present Use of ~: <br />P.I:q)osed Use of ~: <br /> <br />10. Present CC:rrprehensive Plan Designaticm: <br />Proposerl O:I1p%ehensive Plan Designaticm: <br /> <br />11. What plan or d:1aD:Je makes this J:eqUeSt necessary? <br /> <br />12. What is the expected effect of the prqxJSEd ci1arr;Je? (For exanple, an property <br />values, health, safety, parkin;J, traffic ocn1itialS, etc.) <br />