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<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 />_RID <br />Rezoning <br />== Special Use Permit <br />_ vacation of Right-of-Way <br />_ Preliminary am Final Plat <br /> <br />$750 <br />$300 <br />$200 <br />$200 <br />$500 <br /> <br />_ conprehensive Plan Amendment <br />..2L Division of Platted Lot <br />_ Relocation of Dwelling <br />_ Variance to zoning Ordinance <br />Shoreline PeJ:mi~ <br /> <br />)1~S <br /> <br />$750 <br />$100 <br />$100 <br />$200 <br />$ 50 <br /> <br />Please conplete form by typing or printi.n] in ink. If the spaces provided are <br />insufficient, use additional sheets, keying infonnation to the proper item numbers: <br /> <br />1. <br /> <br />VI c...TO 12... I A <br />Name of OWner: (First) <br /> <br />(VI . <br />(Middle) <br /> <br />m GlA~..Rf\<.-1 <br />(last) <br /> <br />2. <br /> <br />q Cj B tAl. Cou" 1<.1 ROAD '8 RO'5lSVIUE INJ <br />Address of OWner: (No. am street) (City) (state) <br /> <br />3. <br /> <br />5r-'m\e <br />(Name of Applicant): (First) <br /> <br />(last) <br /> <br />(Middle) <br /> <br />4. <br /> <br />51"W"r\15 <br />(Address of Appl.) : (No. and street) <br /> <br />(state) <br /> <br />(city) <br /> <br />.489 <35B3 <br />(Phone) <br /> <br />~~/13 <br />(zip) <br /> <br />(Phone) <br /> <br />(Zip) <br /> <br />5. Apprcrt'f'rI~J..,J., qqq /t;ur& <br />street ~~~ Property Involved: <br /> <br />6. COIIq)lete legal Description of Property Involved?#OttA lit ~d- ~..f4.:iIJwH-. jJjf.. <br />+'~ tF -rrA.d-t!., (('1",fihvLI Lanq .!S<<r1J~ Mt. 5'. RAAn.~IJ-r uvn.Jy, HI 1IJ.1I~.rll.J.A. <br /> <br />7. Date Property Acquired: ~. l Q'l B <br /> <br />9. Present zoni.ng of Property: R. J <br />Proposed Zoning of Property: /<./ <br /> <br />8. <br /> <br />Present Use of Property: j@t'LIn+ lAnd <br />Proposed Use of Property: <br /> <br />10. Present conprehensive Plan Designation: <br />Proposed Con1prehensive Plan Designation: <br /> <br />11. What plan or change makes this request necesscu:y? l>>~ ~ 'flLU-~~' <br /> <br />12. What is the expected effect of the proposed cl1ange? (For example, on property <br />values, health, safety, parJd.n;J, traffic corxti tions, ete.) <br />110 (\) e..- <br />