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<br />~ <br /> <br />~. <br /> <br />S/I21ti'l &1 <br />JI!; <br />~'R 'l.úf.t 1 . <br /> <br />~~~ .. <br /> <br />~¡y r;r0 <br />tbA\·01. <br /> <br />... ~- <br /> <br />CITY OF ROSEVILLE <br />2660 CIVIC CENTER DRIVE <br />ROSEVILLE, MINNESOTA 55113 <br /> <br />Please check item or items for which yoo are aw1yirg: <br /> <br />POD $750 <br />== Rezónir¥;J $300 <br />~ Special Use Pemit $200 <br />_ Vacation of Right-of-way $200 <br />_ Preliminary ani Final Plat $500 <br /> <br />_ CCIIprehensive Plan Amen:bnent $750 <br />Division of Platted tot $100 <br />== Relocatioo of Dwellirg $100 <br />_ VariaJ'Da to Zctni.rq 0Xdinance $200 <br />Shoreline Pexmit $ 50 <br /> <br />Please cx:mplete form by typin¡ or printirg in ink. If the spaces provided are <br />insufficient, use ad:iitional sheets, Jœyirg infonnatioo to the pxoper item nuni::ers: <br />1. ~.:t::tMJþ.. { -k~L.l ~~+ <br />Name of owner: (First) (Middle) (last) (lbone) <br />2. e6~ ~ fo ~11Ja, LJWt;.~, Mr-J S5¥f;¡4 <br />Address of OWner: (No. ani street) (City) (state) (Zip) <br /> <br />3. <br /> <br />~ <br />(Name of AJ;.1;>licant): (First) <br /> <br />(Middle) <br /> <br />(last) <br /> <br />(Ibona) <br /> <br />4. <br /> <br />(City) <br />A~ <br /> <br />(state) <br /> <br />(Zip) <br /> <br />5. <br /> <br />(Address of AgJI.): (No. ard Sb:eet) <br />3114 Wi,¡~-roHJ <br />street Address of Prq>e.rty Involved: <br />6. CcJrrplete Iegal Description of Property Involved: <br />Oz. - "Z.q - '2?::, -'2'- -Où~" <br /> <br />7 . rate Prq>e.rty Acquired: ~<{JQ1l- t CJ4. <br />8. Present Use of Property: 1? - ~ 9. Present zonin:J of Property: 12>-'3 <br />Proposed Use of Property: B- =- Proposed Zonir'g of Property: i?I-=:, <br /> <br />10. <br /> <br />Present CkrIprehe.nsive Plan Designation: <br />Proposed Carprehensive Plan Designation: <br /> <br />'B-~ <br />ß~ <br /> <br />11. What' plan or chan;e makes this request necessary? tr-..L¡)J.t ~. <br /> <br />12. What is the mcpected effect of the prqx:sed à1an;Je? (For exanple, Œ1 prcperty <br />values, health, safety, parJd..rg, traffic con:1itions, etc.) <br />A'" ~~ ot-J, Þ4..L..- i-ri:M-6 <br /> <br />&ß ~dLfÆ ~t. /11 it4 <br />h'2\" ¿, <br />