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<br />~J\ \Cp <br />. ~ ~", <br />Of}. ~ _ "f' .;.,'^- <br />'{ C; \.Q\" <br /> <br />.:J~ 5~~ <br />&fftq -,g/-sqO~ 6Qo <br />p q~ <br />7 D11~ q; <br />o 1 ~IJ <br /> <br />CITY OF ROSEVILLB <br />2660 CIVIC CENTER DRIVE <br />ROSEV1:LLE, MINNESOTA 55113 <br /> <br />Please check item or items for whidl you are applyirg: <br /> <br />RID <br />-Rez . <br />_ 0IU.n;J <br />_ Special Use Permit <br />_ Vacation of Right-of-way <br />Prel.i1nina1:y ani Final Plat <br /> <br />$750 <br />$300 <br />$200 <br />$200 <br />$500 <br /> <br />_ catprebensive Plan Amerdment <br />Division of Platted IDt <br />~cx:ation of Dwellirg <br />Variaz:De to ZOI'1in;J Ordinance <br />Shoreline Pe1:mi.t <br /> <br />$750 <br />$100 <br />$100 <br />$200 <br />$ 50 <br /> <br />Please CCII'plete fo:r:m by typirg or print.iIg in ink. If the spaces provided are <br />insufficient, use a<i:titional sheets, ksyiIq info:coatioo to the proper item rnJl1'Ibers: <br />1. 1J1I10(!.,D ~JL &; 9'$ I-~ yroy <br />Name of OWner: (First) (Middle) (last) (Fhone) <br />g()f)/ lAIr ~o(). IT, :#f9() /jNNUfous- /ljtl ,-~S1C5 7 <br />Address of OWner: (No. an1 street) (city) (state) (Zip5 <br />3. (K~/.f f!mv,O) ::JfMi)~ /fLc-f-~ Slfo~/(, ft7-~~J- ~ <br />(Name of AWlicant) P: (First) (Middle) (last) (Rlone) "' <br /> <br />-W1 i~i: /}1J; JY~) 4f~&rr (~ ' ~A' <br />;;)~. rlt-l(lVI'AJW (t$~J- +- rA-,'~\lI'M J <br />street Address of Prq)erty Involved: <br />Conplete legal Description of Propert}r Involved: 1]) 1Jz- rf1)...Cj J.... "'"3 ~ I.f ()O D b <br /> <br />2. <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 />IBte Prq)erty Acquired: <br />Present Use of Prq)erty:S~,C.{ CJ:f'A fJ:~ Present Zonin;J of Prq)erty: <br />Proposed Use of Prq)erty: ~ Proposed Zoni.rq of Prq)erty: <br />Present c.arprehensive Plan Designation: <br />Proposed Catprehensive Plan Designation: <br />What plan. or ~ makes this request neoesSMy? <br />----..llb1) , 0".) oP :. :)., X S- {> I t?/fN 0 Py <br /> <br />What is the expected effect of the prqxJSed d1arge? (For exarcple, on property <br />values, health, safety, park.i.rg, traffic cxniitions, etc.) <br />S'HD~/J U~Jl... /YO A/~nVtL. ~f-~e.,-7 S", <br />