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<br />'(. <br /> <br />8(//? <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 applying: <br /> <br />_IUD <br />_ Rezoning <br />_ Special Use Permit <br />_ Vacation of Right-of-Way <br />_ Preliminary an::1 Final Plat <br /> <br />$750 <br />$300 <br />$200 <br />$200 <br />$500 <br /> <br />_ cœprehensive Plan A1T\e1')'jment <br />~ Division of Platted I.Dt <br />_ Relocation of D'Ilellin:J <br />_ variance to zC>J1irç ordinance <br />Shoreline Pennit <br /> <br />$750 <br />$100 <br />$100 <br />$200 <br />$ 50 <br /> <br />Please complete form by typirq or printing in ink. If the spaces provided are <br />insufficient, use additional sheets, keying information to the proper item numbers: <br /> <br />1. 2./?'Eæ-¡- H' cft:>LAS &Gl3./.ßAcfl . "7'8?.s'(!;:J/.J- <br />Name of Owner: (First) (Middle) (last) (Fhone) <br /> <br />2. '-..:?~ 7 tV, € L...oI2/JJG-E .K~-et/ 11-Li:.. rAil! ~d (( :5 <br />Address of OWner: (No. arrl street) (City) (state) (Zip) <br /> <br />3. <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 />(Name of Applicant): (First) <br /> <br />(Middle) <br /> <br />(last) <br /> <br />(Phone) <br /> <br />(City) <br /> <br />(state) <br /> <br />(Zip) <br /> <br />(Address of Appl.) : (No. and street) <br /> <br />J00 lJ lAS: r; CD Q. 't\ ~3 <br />street Address 0 Property Involved: <br /> <br />Complete Ißga1 Description of P.t"ope¢y IIwolved: <br />..~ ~~~¿~ CJ~ <br /> <br />Date Property Acquired: <br /> <br />~ ~ <br /> <br />Present Use of Prq:>erty;~ Present zoning of Property:~/~} <br />Proposed Use of PropertyrGi ' ~ r~Prcp::sed Zoning of Property;4J?{JZ~~ <br />Present camprehensive Plan Designation: <br />Proposed COmprehensive Plan Designation: <br />What plan or change makes this request necessary? <br /> <br />What is the expected effect of the proposed chan;¡e? (For exaIlple, on property <br />values, health, safety, parking, traffic conditions, etc.) <br />