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<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 />== Prelimina1:y an1 Final Plat <br /> <br />$750 <br />$300 <br />$200 <br />$200 <br />$500 <br /> <br />_ Catprehensive Plan Amendment <br />Division of Platted IDt <br />== Relocation of [Melling <br />_ Variance to zoning Ordinance <br />Shoreline Permit <br /> <br />$750 <br />$100 <br />$100 <br />$200 <br />$ 50 <br /> <br />Please complete fom by typirYJ or printing in ink. If the spaces provided are <br />insuffici~t, use additi~ ..~eets, key~ rtormation to,~ proper tt.em numbers: <br />1. lV fJ r li)<<-l5; C'lt Vh ~1 (' C tt flit fJ (l'c C~t It (I'D l{ <br />Name oft" OWner: (First) (Middle) (last) (Phone) <br />0{ (3 \ fu j'V-V ~ eJ (~D~ uZ{ Co {IA ~ $.-,... ,( 3 <br />Address of OWner: (No. arrl street) (~it-Y) Wtate) (Zip) <br />~8~t) t (! . IV '11- Ct (L ve-V (,. 31~ ~<t f- r- <br />(Name of Applicant): {First~ \. (Mi~)" (last) (Phone) <br />CJ- (~l /-A ., rl/u> (.() (C tJ ~e t/r.JIp tv( "'L ~ ~~ ((5 <br />(Address of Appl.) : (No. anI street) (City) (state) (Zip) <br /> <br />2. <br /> <br />3. <br /> <br />4. <br /> <br />5. <br /> <br />street Address of Property Involved: <br />6. Complete legal Description of Property Involved: <br /> <br />7. Date Property Acquired: <br /> <br />9. Present Zoning of Property: <br />Proposed Zoning of Property: <br /> <br />8. <br /> <br />Present Use of Property: <br />Proposed Use of Property: <br /> <br />10. Present comprehensive Plan Designation: <br />Proposed Catprehensive Plan Designation: <br /> <br />11. What plan or dlange ~ this request ne.cessmy? <br /> <br />12. What is the expected effect of the proposej. change? (For example, on property <br />values, health, safety, parking, traffic comitions, etc.) <br />