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<br />, .. <br /> <br />~8DCI <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 applyinJ: <br /> <br />_ Canprehensive Plan .Arnerx:3ment <br />Division of Platted Lot <br />~ Relocation of IMelling <br />_ Variance to zonirg Ordinance <br />Shoreline PeJ:mit <br /> <br />$750 <br />$100 <br />$100 <br />$200 <br />$ 50 <br /> <br />PUD $750 <br />_ Rezoning $300 <br />Special Use PeJ:mit $200 <br />~ Vacation of Right~f-Way $200 <br />_ Preliminary am Final Plat $500 <br /> <br />Please complete fonn by typinJ or printinJ in ink. If the spaces provided are <br />insUfficient, use additional sheets, keyinJ information to the proper item numbers: <br /> <br />1. c.\\"( C>f- \<..bse'-(tlLE - ~<.J.. ~. ~~ <br />Name of OWner: (First) (Middle) <br />""Z...~bO C.'''K. <::ri2.. t)I't''''E; ~'bIUJ.",~ <br />Address of CMner: (No. am street) (City) <br />~~ ?~ ~~ <br />(Narneof Applicant): (First) <br /> <br />~e~ ~~ <br />(Address of Appl.) : (No. am street) <br /> <br />,L/~~ St4EU-\~ W~rAuG <br />street .Address of Property Involved: <br /> <br />2. <br /> <br />3. <br /> <br />4. <br /> <br />5. <br /> <br />(last) <br /> <br />(Phone) <br /> <br />tN1~ <br />(state) <br /> <br />SSl u S <br />(Zip) <br />l.(~".llW <br />(Phone) <br /> <br />(Middle) <br /> <br />(last) <br /> <br />(City) (state) <br />~M. ~ ~ (2tL~L <br /> <br />(Zip) <br /> <br />6. Corrg;>lete legal Description of Property Involved: <br /> <br />7. <br /> <br />8. <br /> <br />10. <br /> <br />11. <br /> <br />12. <br /> <br />~~\1. ~ <br /> <br /> <br />Date Property Acx}uired: V\/A <br /> <br />Present Use of Property: \tOW <br />Proposed Use of Property: 't-'-JA- <br /> <br />9. Present Zoning of Property: )4/A <br />Proposed Zoning of Property: ~/A <br /> <br />Present Corrg;>rehensive Plan Designation: <br />Proposedcamprehensive Plan Designation: <br />What :p~an or ghange makes this request necessary? CO\-4.\1iWt..T\O'ti Of <br />J,..\M-tCL.N. '\)T2.\~E <br /> <br />What is the expected effect of the proposed c.hanJe? (For exanple, on property <br />values, health, safety, parkirg, traffic ron::litions, etc.) <br />A'i::::.o \ 'T'\ f!'r--'<h '- rA.\"LIL" Nt; <br />