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<br />.. <br /> <br />., <br /> <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 applyirq: <br /> <br />POD $750 <br />=.: Rezoning $300 <br />_ Special Use PeJ:mi.t $200 <br />_ Vacation of Right-of-Way $200 <br />(..000""'" Prelim:ina.:l:y am Final Plat $500 <br /> <br />_ CCITIprehensive Plan Arne.rrlment <br />Division of Platted IDt <br />== Relocation of Dwe1Iin;J <br />_ Variance to ZoniJ'g' ordinance <br />Shoreline Pe:tmit <br /> <br />$750 <br />$100 <br />$100 <br />$200 <br />$ 50 <br /> <br />Please ccnnplete form by typinJ or printinJ in ink. If the spaces provided are <br />insufficient, use additional sheets, keying information to the proper item numbers: <br /> <br />1. BARRY T05<3fH O/h6ARA b 33-0'2'/' <br />Name of OWner: (first) (Middle) (Last) (Phone) <br /> <br />2. 187'1 BRcAlfucR Av 'Rosc,YIL11=- fllN S'SI/3 <br />Address of OWner: (No. ard street) (City) (state) (Zip) <br /> <br />3. <br /> <br />(Name of Applicant): (First) <br /> <br />(Middle) <br /> <br />(last) <br /> <br />(Phone) <br /> <br />4. <br /> <br />(Address of Appl.) : (~o. an.1 street) (City) <br /> <br />f1 /L TO/l.l 'StReET <br />street Address of Property Involved: <br /> <br />complete Legal Description of Property Involved: <br /> <br />(state) <br /> <br />(zip) <br /> <br />5. <br /> <br />6. <br /> <br />5/3.t: ItTTIt0/fED. PLltr <br /> <br />7. Date Property Acquired~: I tt ? ? - I q q'l <br /> <br />8. <br /> <br />Present Use of Property: <br />Proposed Use of Property: rr - { <br /> <br />9. Present Zoning of Property: R - I <br />Proposed zoning of Property: ft ~ ( <br /> <br />10. Present comprehensive Plan Designation: <br />Proposed Comprehensive Plan Designation: <br /> <br />11. What plan or change ~ this zequest necess<ny? <br /> <br />12. What is the expected effect of the proposed d1ange? (For exa111?le, on property <br />values, health, safety, parklng, traffio con:1itions, etc.) <br />ttlu'LD '?a S. 'fW~ <br /> <br />~ <br />