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<br />" '\ <br />II> <br /> <br />/ ,/ ,.t..]:.. <br />t.R;~/i7 <br /> <br />i ': <br /> <br />-'~ .J <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 applyirg: <br /> <br />_ RID $750 Carprehensive Plan' Amerrlment $750 <br />Rezoning $300 - Division of Platted I.ot--~$100~-~--- <br />== Special Use Permit $200 == Relocation of Dwellirg $100 <br />_ Vacation of Right-of-Way $200 Variance to Zonirg Ordinance $200 <br />_ Preliminary am Final Plat $500 L Shoreline Permit $ 50 <br /> <br />Please CCI11plete form by typirg or printirg in ink. If the spaces provided are <br />,insufficient, use additional sheets, keyirg information to the proper item numbers: <br /> <br />1. ,Lj*'~t Zs-ee./dd/ /.<__.,,~/ ~/~r/..r \. 4-12) <rrdJ-/t// <br />Nama" of OWner: (First) (Middle) - (last) (Phone) <br /> <br />2. ...:!?S-o.;v, t/,,~ ~r.~ i?J'e".,,-,/4 ~r./ SJ//3 <br />Address of OWner: (No. an:i street) (City) (state) (Zip) <br /> <br />3. &-~'-/ot?_/ ~_/:'h <br />(Name of Applicant): (First) (Middle) (last) (Phone) <br /> <br />4. 4r #~rC <br />(Address of Appl.) : (No. an:i street) (City) (state) (Zip) <br /> <br />5. <br /> <br />street Address of Property Involved: ..27.5"0 A./. t/"c:kr,'~ Pc>..r~",...-//~ <br /> <br />6. <br /> <br />Complete I.egal Description of Property Involved: <br /> <br />SCE <br /> <br />'"', T7 A '.' ~'! " <br />.1 , . . J .._' <br /> <br />7. D:ite Property Acquired: <br /> <br />9. Present Zoning of Property: <br />Proposed Zoning of Property: <br /> <br />8. <br /> <br />Present Use of Property: <br />Proposed Use of Property: <br /> <br />10. Present Comprehensive Plan Designation: <br />Proposed Comprehensive Plan Designation: <br /> <br />11. What plan or change makes this request necessary? <br /> <br />12. What is the expected effect of the ProPOSed change? (For example, on property <br />values, health, safety, parking, traffic corxtitions, etc.) <br />