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<br />//10- 22'7 c¡ <br />{! httv/e nL- <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 awlyinJ: <br /> <br />ID <br />P.11 gq ~ <br />rfI 0 ~C1? <br />1 ~ ' D~ ~ <br />i~/ <br /> <br />RID <br />-:Rez . <br />_ oru.rr;J <br />_ Special Use Permit <br />_ vacation of Right-of-way <br />Preliminary ani Final Plat <br /> <br />$750 <br />$300 <br />$200 <br />$200 <br />$500 <br /> <br />CŒprehensive Plan Ame1'X3ment <br />:::I Division of Platted Lot· <br />_ Relcx:ation of DællinJ <br />Variance to Zonin1 ordinance <br />- Shoreline Permit <br /> <br />~ <br />~ <br />$100 <br />$200 <br />$ 50 <br /> <br />Please exmplete fom by typinJ or printin;J in ink. If the spaces provided are <br />insufficient, use additional sheets, keyinJ infomation to the prq:m- item numbers: <br />N05€ 19#;t/G" . <br />1. AII/O C.¡o,/lL A, f(EG(L£ $/~f-¥S/3 <br />Name of OWner: (First) (Middle) (last) (Fhone) <br /> <br />.3 '13 W, ØLlÆKE II¡/¡ fWS€VILLE ...#~ 55//3 <br />Address of OWner: (No. am street) (City) (state) (Zip) <br />t!I1RL A, 1(€lILE L/~~-((3/5 <br />(Name of Applicant): (First) (Middle) (last) (Fhone) <br />351-3 w, ,(BttÆKC 19~ K~S-ér/LL€ A1M 55//3 <br />(Address of Appl.) : (No. ani street) (City) (state)' (Zip) <br />S,WI 77/él. t./ /P()~íïO/U éJF.3 W, BlIl!¡¿E 4tJ, <br />street Address of Involved: <br /> <br />2. <br /> <br />3. <br /> <br />4. <br /> <br />5. <br /> <br />6. Canplete legal Description of Property Involved: <br /> <br />7. <br /> <br />8. <br /> <br />10. <br /> <br />11. <br /> <br />12. <br /> <br />.. <br />/ <br /> <br />IBte Property Acquired: ~) Sf c¡ <br />Present use of Property: ;¡, I 9. Present Zanin¡¡ of Property: 721 <br />Proposed Use of Property: _l Proposed zorú.rg of Property: Æ/ <br />Present cœprehensive Plan Designation: P¡:JÆ.- r t) F HtJ.~ e-~ rel1 Þ <br />Proposed cœprehensive Plan Designation: S€LL PA¡(l, t!J,c rfoA€.5TZ!!:RO <br />What plan or chan:]e makes this request necessary? <br /> <br />What is the expect:ed effect of the p:q¡osed d:1arge? (For exanple, on property <br />values, health, safety, parkirg, traffic oarñitions, etc.) <br />