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<br />;{1A' <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 PeJ:mit <br />- vacation of Right-of-Way <br />- Prelilninary an:l Final Plat <br /> <br />$750 <br />$300 <br />$200 <br />$200 <br />$500 <br /> <br />_ CCttprehensive Plan Amendment <br />Division of Platted lot <br />- Relocation of tMelling <br />- Variance to Zoning Ordinance <br />- Shoreline Permit <br /> <br />$750 <br />$100 <br />$100 <br />$200~ <br />$ 50 <br /> <br />Please COICq)lete fom by typing or printirg in ink. If the spaces provided are <br />insufficient, use additional sheets, keying infornation to the proper item numbers: <br />A v~ '5> <br />~arne of er: <br />.:2-. <br />Address of CMner: ( o. and street) <br />------ <br />I :z=-l?r1v .s' c.. . <br />of Applicant): (First) <br /> <br />1. <br /> <br />(First) <br /> <br />(Middle) <br /> <br />(last) <br /> <br />(Phone) <br /> <br />2. <br /> <br /> <br />aI. <br /> <br /> <br />(city) <br /> <br />3. <br /> <br /> <br />(Middle) <br /> <br />4. <br /> <br />"Z- <br /> <br />5. <br /> <br />6. Complete Legal Description of Property Involved: <br />-.e~rs::t2 ~ !t Y1 S 7~ - 1 t .,.. ~ ~~L?~ <br />__ -~'t ~ -:::'_) tt) ~~r-'.Jf'J.-(f) -"?,~ <br /> <br />7. Date Property Acquired: <br /> <br />9. Present Zoning of Property: <br />Proposed Zonin;J 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 charge? (For example, on property <br />values, health, safety, parking', traffic conditions, etc.) <br />