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<br />~~D~ (i 1, <br />414"C,?> <br />D /lit <br />11> 04 '"' <br />~t <br /> <br />CITY OF ROSEVILLE <br />2660 CIVIC CENTER DRIVE <br />ROSEVILLE, MINNESOTA 55113 <br /> <br />Please d1ec:k item or itens for which you are 8R?lyin): <br /> <br />POD $750 _ Q:mprehensive Plan Amen:hnent $750 <br />- Rezon.irg $300 ~ Divisim of Platted IDt $100 <br />_ Special Use Pe1:mit $200 _ Relocatim of Dwellirq $100 <br />_ Vacation of Right-of-way $200 _ Variance to Za'1in1 ordinance $200 <br />_ Preliminary arxl Fmu Plat $500 Shm:eline Pe1:mit $ 50 <br />Please OCIIplete fom by typirq or print.i.n} in ink. If the spaoes prcvided are <br />insufficient, use additicmal sheets, keyin;J infomatim to the prcp!r item 11U1ti:Iers: <br />L ~., f. tJ. Y''( e 1/ l/1'1-(psoo <br />Name of owner: (First) (Middle) (last) (B1one) <br />CJ<t 71.J~ CA. U {'-;)../ R 0 S-t- VI OJ Ie AAAI s s-/I 3 <br />Address of owner: (No. arxl stteet) (City) (state) (Zip) <br />~kr1 P. ~ y-yell <br />(Name of Awlicant): (First) (Middle) (last) (Rlone) <br />9ct1LJCo, MC-:2, tb~ev"lle;; MAl.'1S//3 <br />(Address of Awl.) : (No. am street) '(City) (state) (Zip) <br />9<t'7LJ~ ~C - ~,t/)sPth!k, )I( If) .53//'3 <br />street Address of PJ:qm'ty Involved:' / <br />tJ)... - ~ -2 3-~6e>? <br /> <br />1. <br /> <br />2. <br /> <br />3. <br /> <br />4. <br /> <br />5. <br /> <br />6. <br /> <br />7. <br /> <br />8. <br /> <br />10. <br /> <br />11. <br /> <br />12. <br /> <br /> <br />Vtt . ~ <br />IBte PJ:qm'ty Acx}uired: J / I / (p rl? tc. h m. 0 rl <br /> <br />Present use of PJ:qm'ty: ~t::t:'3:1 Present ZarlJJ] of PJ:qm'ty: ~L <br />Proposed Use of PJ:qm'ty: . ;a.! PLq;a;ed Zonin:J of PJ:qm'ty: ~ <br />Present Q:mprehensive Plan cesignatiau ~ I <br />Proposed CaTp:rehensive Plan Designation: .- , . <br />What plan or char1;Je makes this request necessary? TO .~ LJ /, '7 Cc I tJ /- <br />, <br /> <br />What is the expected effect of the ~c.posed charx1e? (For exanple, on prcpnty <br />:tJ;:.' , ~th, safety, parkin;J, traffic ocniitims, etc.) <br />~? ~e . <br />