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<br />/),ll~ '} 4 t\ <br />1\,0;)1\ ~ <br />... v '2"1 <br />1C; t)">~ <br />~c" ... <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 applyÎDj: <br /> <br />RID $750 <br />L- Rezoning $300 <br />Special Use Permit $200 <br />>< Vacation of Right-of-Way $200 <br />_ Preliminary and Final Plat $500 <br /> <br />Please complete fom by typing or printin;J in ink. If the spaces provided are <br />insufficient, use additional sheets, keying infonnation to the proper item numbers: <br />1. Jam e. 5 A Il e n W fa- 6 T Þ y 4 ?f 4 - fa 17 fL/ <br />Name of OWner: (First) (Middle) (Iast) , (R1one) <br /> <br />J-( gO /....0 V e It Ave V)lAe I~ose u ì 1\e. fY1/\1 5 5 II .3 <br />Address of CMner: (No. and street) (city) (state) (Zip) <br />,,-"J~VYle~ A-rl-eh \!\Jesthy 4ý'1-fo7ft~ <br />(Name of Applicant): (First) (Middle)' (Last) (Phone) <br />/..j rD l-Dvet~ AvenlAe Röseu,\}le tv1 \\ 5 :) {I 3 <br />(Address of Appl.) : (No. am street) (city) (state) (Zip) <br /> <br />Y?O l-O\le\1 A-v¿1'\ LL-~ <br />street .Address of Property Involved: <br /> <br />2. <br /> <br />3. <br /> <br />4. <br /> <br />5. <br /> <br />_ C01Tq;)rehensive Plan Amen::1ment $750 <br />)( Division of Platted I.ot $100 <br />== Relooation of IMellinçJ $100 <br />_ Variance to Zorù.n;J ordinance $200 <br />Shoreline Permit $ 50 <br /> <br />6. Complete legal Description of Property Involved: S et:1- ¡or, 12 10 w n z. e¡ , <br />~ DI n~:~ J"? -;:."¿, N 175 fí W Dr (!.. L-. ð f ¿o~arl: II :;2 q- <br />_ '- 0 r P,¿Iî E nf t!... L- n-t S D 5: Î {j F W V _ r _ $ !IV <br />Yt.i ¡)"f N'E. VI-{ èJ( SIN 114 (su\?¡. to ttd'.3) \\'1 :;ec~ (.2.. Î/J:l1 re.N;!..3, <br /> <br />7. <br /> <br />Date Property Acquired: <br /> <br />1'1{,,7 <br /> <br />8. Present Use of Property: Re <s ì ð.ent¡'q I 9. Present Zoning of Property: re / <br />Proposed Use of Property: r(es ì dentiA I ' Proposed Zoning of Property: r< 2. <br /> <br />10. <br /> <br />11. <br /> <br />12. <br /> <br />