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<br />'f <br /> <br />"t"::>.. r v~. <br />l Vl.L~ b ~ 1/ ~"Il - <br />~~ <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 applyin:;J: <br /> <br />1 IUD fr. ~\--1> ~'t~W'\..- $750 _ Ca'lprehensive Plan Amendment $750 <br />_ Rezoning $300 Division of Platted Lot $100 <br />_ Special Use PeJ:mit $200 == Relocation of IMellin:;J $100 <br />_ Vacation of Right-of-Way $200 _ Variance to Zonit'q ordinance $200 <br />_ PreliminaJ:y an:l Flnal Plat $500 Shoreline Permit $ 50 <br /> <br />Please complete form by typirg or printin:;J in ink. If the spaces provided are <br />insufficient, use additional sheets, keyirg information to the proper item numbers: <br /> <br />" . <br /> <br />~v\~A,('L~\v OQ, ~ ~ u..L ~ <I:> 10 -loOM VOl N . 1\ \ \ t..V\ <br />Name of owner: . (First) (Middle) <br /> <br />\ b~o :)ou... \1,..,. ~ c... \ 00 IS\-. \-.cIl~.~ p~ ,<.. <br />Address of OWner: (No. 'ani street) (City) <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 />(Last ) <br />~ S'S4\(.... <br />(state) <br /> <br />(Phone) <br /> <br />(Zip) <br /> <br />(Name of Applicant): (First) <br /> <br />(Middle) <br /> <br />(last) <br /> <br />(Phone) <br /> <br />(Address of Appl.) : (No. am street) <br /> <br />(City) <br /> <br />(state) <br /> <br />(Zip) <br /> <br />street .Address of Property Involved: <br /> <br />Caroplete legal Description of Property Involved: <br />. \A \cl <br /> <br /> <br />Date Property Acquired: M~ \ <1 Cc. 5 <br />\ <br /> <br />Present Use of Property: .0M.IC~1A..;\'- 9. Present Zoning of Property: ~l~ \ <br />Proposed Use of Property: ~.~~\YuJ Prop:>sed Zoning of Property: ~ H,...:rw,.lA.Lt~~ <br /> <br />Present Comprehensive Plan Designation: <br />Proposed COrrprehensive Plan Designation: <br /> <br />What plan or change makes this request necessary? <br /> <br />What is the expected effect of the proposed change? <br />values, health, safety, parking, traffic con:litions, <br />~f\.L.~:t~ t1,..,~ ~~ ~..~ v.,') .~ <br /> <br />\ <br /> <br />(For exanple, on property <br />etc.) . <br />~ Q ~ '\..\.u; \.\. TU-tt <br />.. ~ <br />