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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 />y FUDA/VJcU~ <br />Rezoning <br />== Special Use Pennit <br />Vacation of Right-of-way <br />== Preliminary an::} Final Plat <br /> <br />$750 <br />$300 <br />$200 <br />$200 <br />$500 <br /> <br />Ccmprehensive Plan Amendment <br />- Division of Platted Lot <br />- Relocation of IMe11ing <br />== Variance to zonirxJ ordinance <br />Shoreline Pennit <br /> <br />$750 <br />$100 <br />$100 <br />$200 <br />$ 50 <br /> <br />Please complete fom by typing or printing in ink. If the spaces provided are <br />insufficient, use additional sheets, keying infonnation to the proper item ntnnbers: <br /> <br />(Address of Appl.) : (No. an::} street} <br /> <br />~ 3~/~'iO OV~\ook.. t)r\'''~ <br />street ACldress of Property Involved: <br /> <br />6. CoIrplete Legal Description of Property Involved: <br />nLn~..s. 33 "- 3<<-1, B\oc.Jc. ! - Ro!:.e...tc.w,,- R:~-e- <br /> <br />1. <br /> <br />2. <br /> <br />3. <br /> <br />4. <br /> <br />5. <br /> <br />7. <br /> <br />8. <br /> <br />\(~ tt \..Q..(- Cof\.s.1-ru.c...+f 0(\, Th ~ . <br />Name of OWner: (First) (Middle) <br /> <br />----:t<?3 Hctr-bor C+. ~ hor"e..v i ~ <br />Address of OWner: (No. am street) (City) <br /> <br />S Q I>) e Q oS. (") l.U f\ .fJ1 <br />(Name of Applicant): (First) <br /> <br />Y<b;}-113't <br />(Phone) <br /> <br />(last) <br /> <br />~l(\f\. <br />(state) <br /> <br />6.5/~ <br />(Zip) <br /> <br />(Middle) <br /> <br />(last ) <br /> <br />(Phone) <br /> <br />(City) <br /> <br />(Zip) <br /> <br />(state) <br /> <br />~te Property Acquired: ~. /'195 <br />I <br />Tow f'\ b~ ~ <br />Present Use of Property: Mod~ <br />Proposed Use of Property: TO\.Ol\hlll'ftJl.. <br /> <br />9. Present Zoning of Property: R - \ <br />Proposed Zoning of Property: R -, <br /> <br />10. Present Corrprehensive Plan Designation: <br />Proposed Comprehensive Plan Designation: <br /> <br />11. <br /> <br />12. <br /> <br /> <br />""of+.- <br />