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<br />IJ. y <br />at!}. ,- <br />d- t-A 'fb <br />~r,r; ~ <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 awlyirxJ: <br /> <br />PUD $750 <br />- Rezonl.rg $300 <br />- Special Use Fermit $200 <br />_ Vacation of Right-of-way $200 <br />_ Prelim:il'1a1:y am Final Plat $500 <br /> <br />_ CCIIprehensive Plan.AmeIm1ent $750 <br />Division of platted IDt $100 <br />:z: Relocation of DwellirxJ $100 <br />_ Variance to z01'1i1'q Ordinance $200 <br />Shoreline Fermit $ 50 <br /> <br />Please c::atplete form by typirxJ or printi.rq in ink. If the spaces provided are <br />insufficient, use additicmal sheets, keyirxJ information to the proper item rnnnbers: <br /> <br />5. <br /> <br />m,~c.hCU"- \ ~~. Bu ~ <:,p '"Vl 1 - 1933 <br />Name of OWner: (First) (Middle) (laSt) (Rlone) <br /> <br />~g4 t Of"k A~~ ~ ~~LI\{y\lY;r"\~~ic. ~.c;1I1 <br />Address of OWner: (No. am street) (City) , (state) (Zip) <br />.M\;JMf'~\ s. 5u~~ -Z1( -1833 <br />(Name of Applicant) :/(First) (Middle) (laSt) (Rlone) <br /> <br /><Mizess of Aw1.): ~.4:aIJi~~.r ~(Cit~U)Al.(t, <~"X"'~ gg:1l <br /> <br />~~~~~~lVei: <br />Carrplete I.sgal Description of Property Involvei: P r? Li fl ,11 IlL A.M.:l hm <br />~ I Lot 5 --::r--- <br /> <br />1. <br /> <br />2. <br /> <br />3. <br /> <br />4. <br /> <br />6. <br /> <br />7. rate Property Acxpired: <br />8. Present Use of Property: 3tl\CLin \- 9. Present Zonil'g of Property: R- \ <br />Proposed Use of Property: R- I Proposed Zonil'g of Property: R-I <br /> <br />10. <br /> <br />Present Carprehensive Plan Designation: <br />Proposed Carprehensive Plan Designation: <br /> <br />11. <br /> <br />What plan or charge makes this request: =~? ~~t6 ~ ~ <br />~(,~YV"\ 12- c; I J.\p.,,+ ) 0'(' p:-fy.t..,..u.- A '\"\.. i :7 .., <br />~tl B I <br /> <br />12. <br /> <br />What is the expected effect of the Ploposed c:::harge? (For exanple, on property <br />values, health, safety, parkirg, traffic oon:titions, etc.) <br />t(;;:~~t:~~4'".....~t~~\:.~~ ih* "",.1" k <br />