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<br />CITY OF ROSEVILLE <br />2660 C:IVJ:C CENTER DlUVE <br />ROSEVILLE, MINNESOTA 55113 <br /> <br />Please check item or items for which ya1 am awlyinJ: <br /> <br />f/60?:J Cj'!J <br />(} ~ \4' t.1? <br />Onto <br />1t. O~ I' <br />~t <br /> <br />RID $750 _ Calprehensive Plan Amer'dnent $750 <br />- Rezoni.n;J $300 Divisia\ of Platted IDt $100 <br />_ Special Use Permit $200 ---r Relocatia\ of Dwel1irg $100 <br />_ Vacation of Right-of-+lay $200 ..JL. variarx:8 to Zonin;J 0J:dinarx:s $200 <br />Prelimi.na1:y am Final Plat $500 Shoreline Permit $ 50 <br />Please carplete fom by typin) or print:.inJ in ink. If the spaces provided are <br />insufficient, use additia1al sheets, ksyi.n;J infomatiCl\ to the proper item numbers: <br />1. /VIa (!.A1l71-ltl ~1V1~ - S-rJi.y~JI E ;ev8/~ ~3~- ~590 <br />Name of owner: (First) (Miane) (Last) (R1one) <br />e-77S #Wy .3.5W /6(~EJ/IL.U= Md. ss //3 <br />Address of owner: (No. am Sb:eet) (City) (state) (Zip) <br />S J b/llCV<A~7E-R.~ - /Q,&;er A, IV ul't.~o S7/-e99.S <br />(Name of Awlicant): (First) (Miane) (Last) (R1one) <br />777.< MR/d $7": #~. ~/2/L7UY /YJ/:V# ~ 5~8Z- <br />(Address of Awl.) : (No. am Sb:eet) (City) (state) (Zip) <br />-r!... 775 I-IWY 35 14 0/ L'o ,R.o _ L!.. <br />street Address of Prqmty Involved: <br /> <br />2. <br /> <br />3. <br /> <br />4. <br /> <br />5. <br /> <br />6. Ccmplete Isgal Description of Prqmty Involved: <br /> <br />7. l)ite Prqmty Acquired: <br /> <br />8. Present Use of Prqmty: Flu.'!: I/vl5~s.. 9. Present zoni.n;J of Prqmty: <br />Proposed Use of Prqmty: Proposed Zonirg of Prqmty: <br /> <br />10. Present O::ITprehensive Plan Designatioo: <br />Proposed O::ITprehensive Plan Designation: <br /> <br />11. What plan or c::i1arge makes this nquest neoessazy? <br /> <br />12. What is the expected effect of the ~qa;ed c::i1arge? (For exanple, on property <br />values, health, safety, park.:inJ, traffic oc:ntitia1S, etc.) <br />