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<br />" <br /> <br />" <br /> <br />z:l?JI <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 applyirg: <br /> <br />RID <br />_ Rezoning <br />_ Special Use Permit <br />_ Vacation of Right-of-way <br />Prelilninary am Final Plat <br /> <br />$750 <br />$300 <br />$200 <br />$200 <br />$500 <br /> <br />Canprehensive Plan AmenJment <br />1:: Division of Platted Lot <br />Relocation of IMellirg <br />== Variance to Zon.irq ordinance <br />Shoreline Penuit <br /> <br />$750 <br />$100 "- <br />$100 <br />$200 <br />$ 50 <br /> <br />Please complete fonn by typirg or printirgin ink. If the spaces provided are <br />insufficient, use additional sheets, keyirg infonnation to the proper item mnnbers: <br />1. ~:5~ 6LlZ.A-be:rtt- LU . ~yc-zj::fr ~-~ <br />Name --;f -~er: (First) (Middle) (last) (Phone) <br />L-A~ 6~ '_ A I. ~, ..--'"">.r.1L 0C(O ~ f*A2 c f'..J'LV <br />2. 0 rr -S c.. I tL ~€::t1i- lD. ~~\ A..:e.-V-J~-::3'^lCO'r) \tr1t'\ SSIl2.. <br />Address of : (No. am street) (City) (state) (Zip) t <br />3. G-A- u. ~ ~G:Z:A-be:rtt Lv . ~ (0 l~- <br />(Name of licant): (First) (Middle) (Phone) <br /> <br />(Address of Appl.) : (No. am street) (City) (state) <br /> <br />~SO Ac8f?-t.J '"QOfTt) ~~u~\l'el VV\I/\. <br />street Address of Property Involved: ' <br /> <br />6. Complete Legal Description of Property Involved: <br /> <br />4. <br /> <br />5. <br /> <br />7. <br /> <br />8. <br /> <br />10. <br /> <br />11. <br /> <br />12. <br /> <br />(Zip) <br /> <br />\. <br /> <br />Date Property Acquired: 0 - dS\ - 'dJ.5 <br />. , . QltrrA <br />Present Use of Property: Of€!) .5f>Ace;9. Present Zoning of Property: fe5Q)e.UIt\.~ .~:J <br />Prop:>sed Use of ~;~-A-MlLu _nProposErl Zo~ of Property: ~1:Je.f\TlA-G <br />R.e5L on ~ ~a!...-tT' /.(0, C'\vTA-L z,) ~ L4?-S:> <br />Present comprehensive Plan Designation: <br />Proposed comprehensive Plan Designation: <br /> <br />What plap or me makes this request ~? ufbn. puecl-+.ClSf Ir;j <br />~D/ .Jm (\ -v ~ \..Ue..., dP~~& T7) 1) l U lD'€.J 1'\ <br />(IQ(,,\Up..-llj \ V\ --n l \-IALf-s, . <br /> <br /> <br />What is the expected effect of the proposed d1ange? (For example, on property <br />values, health, safety, parking, traffic corx:titions, etc.) <br />1U n (' H (\ Y\j <e.$. e_'fPC-TP..&. <br />