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<br />p.1 ~?, <br /> <br />I <br />... <br /> <br />CITY OF ROSEVILLE <br />2660 CIVIC CENTER DRIVE <br />ROSEVILLEt MINNESOTA 55113 <br /> <br />Please check item or items for which you are applying: <br /> <br />PUD $750 <br />Rezoning ~30Q <br />----V--Special Use Pennit ~-S.~~ <br />Vacation of Right-of-Way $200 <br />== Preliminary arrl Final Plat $500 <br /> <br />Conprehensive Plan Amen:iment <br />- Division of Platted I.Dt <br />- Relocation of DNelling <br />- Variance to zoning ordinance <br />- Shoreline Pennit <br /> <br />$750 <br />$100 <br />$100 <br />$200 <br />$ 50 <br /> <br />Please complete fom by typiIg or printing in ink. If the spaces provided are <br />insufficient, use additional sheets, keying information to the proper item numbers: <br /> <br />1. <br /> <br />I<'ENNt:n! t.fiCJl'iJ1lflJ /{I77f <br />Name of owner: (First) (Middle) <br />11/7/ l.19#t1t:{7l l.1'Vc IJ/fQCAJ II It.. ($ <br />Address of owner: (No. arrl street) (City) <br />s-1Mt <br />(Name of Applicant): (First) <br /> <br />(last) <br />MI() <br />(state) <br /> <br />Ol ~7 - (j t.((~ <br />(Phone) <br />s-~/I~ <br />(Zip) <br /> <br />2. <br /> <br />3. <br /> <br />(Middle) <br /> <br />(last) <br /> <br />(Phone) <br /> <br />4. <br /> <br />5. <br /> <br />(Address of AppL) : (No. am street) <br />o?&ll~ aw., <br />Street Address of Property Involved: <br /> <br />Complete legal Description of Property Involved: <br /> <br />(city) <br /> <br />(state) <br /> <br />(Zip) <br /> <br />6. <br /> <br />:S-Cc /i "1 elf E".f) <br /> <br />7. <br /> <br />Date Property Acquired: <br /> <br />1'1/1 Y /S/ I q 7<( <br /> <br />8. <br /> <br />Present Use of Property: i.J IV Ib~/t. <br />Proposed Use of Property: < () IVg" <br /> <br />9. Present zoning of Property: B ~ 3 <br />Proposed Zoning of Property: 8 ~ 3 <br /> <br />10. Present COnprehensive 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 change? (For example, on property <br />values, health, safety, parking, traffic corrlitions, etc.) <br />lJoNt <br />