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<br />'J <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 />_ :roD $750 <br />Rezoning $300 <br />- Special Use Pennit $200 <br />== vacation of Right-of-Way $200 <br />Preli1ninaxy and Final Plat $500 <br /> <br />carprehensive Plan Amendment $750 <br />- Division of Platted lDt $100 <br />== Relocation of [Melling $100 <br />_ Variance to zonin;J Ordinance $200 <br />Shoreline Permit $ 50 <br /> <br />Please complete form by typiIq or printing in ink. If the spaces provided are <br />insufficient, use additional sheets, keying information to the proper item numbers: <br /> <br />-KClre-l rlt LK: 424- 3~q5 <br />(First) (Middle) (last) (Ihone) <br />337 SJ.OUXl<ssc/BlucL eSU{ /ViA) 55//3 <br />(No. and street) (City) (state) (Zip) <br />Job Y} ~ f~ l{g.), \ 71G I <br />(Name of Applicant): (First) (M! e) (Last) (Fhone) <br />51~ 4ernfjJccxiS):~. SV mtJ 55/Z(b <br />(Address of Appl.) : (No. and street) (City) } (state) (Zip) <br />337 20. 0lVQ~O 131ucL . <br />street Address of Property Involved: <br />~,lete ~JiWon of Property Invol~: C Sf tJW d-'-/'J' ~ <br />tJi;:. I k:. BI1 r n Um (;aT Y) Lhf · <br /> <br />1. <br /> <br />Name of OWner: <br /> <br />2. <br /> <br />Address of OWner: <br /> <br />3. <br /> <br />4. <br /> <br />5. <br /> <br />6. <br /> <br />7. Date Property Acquired: <br />8. Present Use of Property: fe'5(de.nflal 9. Present Zoning of Property: f..1 <br />Proposed Use of Property: ::itrn.e.. Proposed Zoning of Property: SClme-/ <br /> <br />10. Present Conprehensive Plan Designation: <br />Proposed Con1prehensive Plan Designation: <br />11. What wan or chaIge makes this request necessary'? cddli1O( +0 e.its.h~_ <br />~, ru C-:hA r~. ~-V- <br /> <br />12. <br /> <br />