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<br />fJ( Is <br />}.') <br /> <br />CITY OF ROSEVlLLE <br />2660 CIVIC CENTER DRIVE <br />ROSEVILLE, MINNESOTA 55113 <br /> <br />Please check item or items for whidl you are awlyin1: <br /> <br />roD $750 <br />_ Rezonirq $300 <br />Special Use Permit $200 <br />== vacation of Right-of-way $200 <br />_ PreliIninary an:} Final Plat $500 <br /> <br />CcI1prehensive Plan Amerrlment $750 <br />-vr Division of Platted Lot $100 <br />- Relocation of Dwellin; $100 <br />- variance to Za'1in1 ordi.naI're $200 <br />- Shoreline PeDnit $ 50 <br /> <br />Please c:x:mplete fom by typin1 or printin1 in ink. If the spaces provided are <br />insufficient, use additional sheets, keyin1 infomation to the ~ item. mnnbers: <br /> <br />2. <br /> <br />!fJV/'OIV rJDJJ WYN I~ <br />Name of awner:1 (First) (Middle!) <br />~o 97 ~/C'e St. /(ose()fll~ <br />Address of awner: (No. an:} street) (City) <br />Sqme as ~ ~oV.e- <br />(Name of Applicant): (First) (Middle) <br /> <br />(Last) <br />. /tJ ftJ <br />, (state) <br /> <br />'189-333<] <br />(:Alone) <br />55//3 <br />(Zip) <br /> <br />1. <br /> <br />3. <br /> <br />(Last) <br /> <br />(:Alone) <br /> <br />4. <br /> <br />(Address of Appl.) : (No. am street) (City) (state) (Zip) <br /> <br />t}()q7 /ifc'e S-f- /)ose u ,'lie I mAJ .5S I /3 <br />street Address of PrOperty Involved:' I ' <br /> <br />Ca1pl~ Legal Description rf Prq>erty Involved: f-.+- LQt I t/'CY'1oIvS <br />>~5J.~f~"IIS.{ojQN;f 3?: tv E /'fl." r o/'rlOAJ 'J,:f TOIUIV- <br /> <br /> <br />Dite Prq>erty Acquired: Apr [' I I /qCf' <br />, ... <br /> <br />Present Use of Prq>erty: h?s {kt/~ I 9. Presei.# zon:iIg of Prq>erty: tr. L <br />Proposed Use of Prq>erty: Proposed Za'1in1 of Prq>erty: <br /> <br />5. <br /> <br />6. <br /> <br />7. <br /> <br />8. <br /> <br />10. <br /> <br />Present carprehenSive Plan Designatiom, : <br />Proposed carprehenSive Plan Designation: \ <br />'$.. . <br /> <br />11. <br /> <br />What plan or chan;Je makes this request necessaIY? <br /> <br />Lor Sjt i I~ <br /> <br />12. What is the expected effect of the prq>esed chan;Je? (For exanple, on prq>erty <br />values, health, safety, parki.rg, traffic cx:ntitions, etc.) <br />No J.;f!; <br />