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<br />Please COI1'plete fom by typinJ or printin;] in ink. If the spaces provided are <br />insufficient, use additional sheets, keyirq information to the proper item numbers: <br />/, ,1 . I ,-" <br />/. j .1-(( \J llr <br />(F~) (Middle) <br />( <br />9.-- ~ '!, (!~" <br />(No. am Scree ) <br /> <br />;J <br />(Name of Applicant): (F' (Middle) <br />cJ /}...-, , ",1 I ,;l <br />7.",^-;; {I.} (:,,~ .It. 0 f ') <br />(Address of Appl.) : (No. arx:l street) <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 />fUD <br />_ ReZon.in;J <br />special Use PeJ:mit <br />== Vacation of Right-of-Way <br />_ Preliminary am Final Plat <br /> <br />$750 <br />$300 <br />$200 <br />$200 <br />$500 <br /> <br />_ Catprehensive Plan Amerx1ment <br />--L Division of Platted lDt <br />Relocation of Dwellirq <br />- Variance to Zonin;J 0rdiJlance <br />- Shoreline PeJ:mit <br /> <br />1. <br /> <br />u/ ~. <2<; Sri t?A? <br />(Last) , <br /> <br />Name of owner: <br /> <br />,~'6JL~ <br /> <br /> <br />$750 <br />$100 <br />$100 <br />$200 <br />$ 50 <br /> <br />!},\ ij...lt;. 3 5: J <br />'(Phone) <br /> <br /> <br />Address of owner: <br /> <br /> <br />2. <br /> <br />3. <br /> <br /> <br />I' <br /> <br /> <br />4. <br /> <br />5. <br /> <br />1/1(' .,... i <br />"7'/l/-1'1~j <br />(Phone) <br /> <br />, -,.' -II ,-) <br />.J."J, .,? <br />(Zip) <br /> <br />street Address of Property Involved: <br />6. CorIplete Legal Description of Property Involved: <br /> <br />7. <br /> <br />rate Property Acquired: <br /> <br />.~ - 3 .' i~ <br /> <br />Present Zoning of Property: J~'" / <br />Proposed Zoning of Property: ,}{ - I <br /> <br />~esent Use of Property: /14 .2:.-.1.;: ld:,;./ 9. <br />Proposed Use of Property: . , <br /> <br />10. Present Can'prehensive Plan Designation: <br />Proposed Comprehensive Plan Designation: <br /> <br />8. <br /> <br />11. <br /> <br />What plan or charge makes this reques <br /> <br />~CONSULTING GROUP, INC. <br /> <br />Traftlportation. CiyjJ- Structural- Environmental- Planni",. Traffic. Landscape Archikduft'. Parking <br /> <br />12. <br /> <br />What is the expected effect of the p <br />values, health, safety, park:irg, tral <br /> <br />Patrick A. Peters <br />Associate <br /> <br />One Carlson Parkway North, Suite 150, Minneapolis. MN 55447-4443 <br />(612) 475-0010 · Fax (612) 475-2429 <br />ppeters@srfconsulting.com <br />