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<br />CITY OF ROSEVILLE <br />2660 CIVIC CENTER DRIVE <br />ROSEVILLE, MINNESOTA 55113 <br /> <br />Please check item or iteJns for which you are applying: <br /> <br />_ Cc:aTprehensive Plan Amendment <br />~ivision of Platted Lot <br />_ Relocation of I).t{elling <br />_ Variance to zoning ordinance <br />Shoreline Pennit <br /> <br />$750 <br />~ <br />$200 <br />$ 50 <br /> <br />POD $750 <br />- Rezoning $300 <br />- special Use Permit $200 <br />- Vacation of Right-of-way $200 <br />== PreliIninary arrl Final Plat $500 <br /> <br />Please COl'I'plete fom by typin;J or printin;J in ink. If the spaces provided are <br />insufficient, use additional sheets, keyin;J infonnation to the proper item numbers: <br />~v. .e- G'~ (3e.;J,v~1f"' ~'.~ bfO <br />Name 0 owner: (First) (Middle) (last) (Phone) <br />~~ ~ N UJ ~..() t3 2-- ,q,C;[J / /JIl.,,-J -sf/I 3 <br />Address of owner: (No. and street) (City) (state) (zip) <br />( (5JZrv~e rf-. tl/~Y6J() <br />( ame of Applicant): (First) (Middle) ((Last) (Phone) <br />rb r tJ u r<LJ c1 2--- !!-.J u ;ftf/V'.sJ? 8 <br />(Address of Appl.) : (No. an:l street) (city) (state) (Zip) <br />5- 'I' )< Se ;KTYJv.-Ir- <br />street Address of Property Involved: <br /> <br />1. <br /> <br />2. <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 /> <br />Complete I.egal Description of Property Involved: <br /> <br />c,-P_ 1-T']I4-c1~ <br /> <br />Date Property Acquired: <br /> <br />Present Use of Property: <br />Proposed Use of Property: <br /> <br />~9. <br /> <br />;e~ <br />~ <br /> <br />Present zoning of Property: <br />Proposed Zoning of Property: <br />~ <br /> <br />Present comprehensive Plan Designation: <br />Proposed Comprehensive Plan Designation: <br />Wnat r or chaJqe makes this request necessaJ:y? SLJ! 7; ~ <br />~ f <br /> <br />&-C-t <br /> <br />